> "I made it very clear [to the doctor's office] that I was unhappy about it," Kasdan says. In fact, she told them she would report the doctor to New York state's Office of Professional Medical Conduct.
> Kasdan says she was not told that the throat swab was being sent out of network at the time of her appointment, though it's possible one of the many papers she signed included a broad caveat that some services might not be in network.
Their fraud relies on insured patients not reading EOBs (because many of us don't).
The parent comment seems to imply the payer is at fault or committing fraud.