May 30, 2024

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Humana sues QuivvyTech for alleged telemarketing scam

Humana is suing QuivvyTech, saying the telemedicine business brought about millions of dollars in damages by way of an elaborate scheme that preyed on its associates.

QuivvyTech telemarketers chilly-named Humana associates, many of them residing in Florida, and tricked them into chatting about prevalent ailments, the lawsuit explained. They then wired the details, which include recordings of the phone calls, to QuivvyTech medical professionals, who electronically prescribed large-cost topical creams to the associates without having at any time acquiring met or spoken to them, according to Humana. 

The alleged fraudulent prescriptions were being then wired to co-conspirator pharmacies, which billed, dispensed and/or delivered the drugs to the associates, often a lot of situations by way of automatic refills, Humana explained. 

The coconspirator pharmacies are not named as defendants in the complaint owing to contractual arbitration provisions amongst them and Humana Pharmacy Options.

Humana explained it was billed millions of dollars for these fraudulent prescription claims, which Humana paid by way of wire transfers though unaware of the scheme. In transform, Humana associates often were being remaining perplexed, irate and in the possession of undesired high priced creams. 

In addition, QuivvyTech defendants chilly-named, or engaged other individuals to chilly-get in touch with, associates of designs sponsored or administrated by Humana centered on leads received by way of illegal signifies, the lawsuit explained. The callers would then trick Humana associates into offering details about their well being to the QuivvyTech defendants by representing that they were being doing the job with Humana, the members’ medical professionals or their pharmacies and/or offering Humana associates with their private details received from improper resources, it explained. 

QuivvyTech paid doctor defendants for a “stop by” with these Humana associates that in no way occurred and in some circumstances, Quivvy Tech Corp. even billed Humana associates for this “stop by,” according to the lawsuit. 

Several doctor defendants prescribed drugs for the similar Humana member centered on the similar details improperly received from a telemarketing get in touch with, the lawsuit explained. 

Medical doctor defendants did not get hold of the Humana members’ medical professionals to be certain the prescribed drugs were being reliable with the Humana members’ existing procedure designs. Certainly, Humana medical professionals expressed issues about their patients acquiring these drugs without having their understanding, the lawsuit explained. 

QuivvyTech defendants funneled these illicit prescriptions directly or indirectly to coconspirator pharmacies across the country who paid to participate in the telemedicine scheme, Humana explained. Coconspirator pharmacies billed Humana for the illegal prescriptions, which the insurance provider paid.

What’s THE Influence?

Humana explained associates were being unfamiliar with the coconspirator pharmacies right up until undesired prescription creams mysteriously arrived at their door or they learned that coconspirator pharmacies billed Humana for prescription medications that they did not obtain. 

Some of the defendants intentionally violated federal and Florida prison and civil regulations by luring unwitting Humana associates into offering safeguarded well being details, the lawsuit explained.

As a outcome, Humana has been weakened by the payment of millions of dollars in pharmaceutical claims. They are in search of treble damages, furthermore interest and service fees.

THE Much larger Development

Lengthy-phrase, the perform could bring about major reputational harm and a reduction of goodwill and believe in amongst Humana and its associates, the lawsuit explained. 

Humana wants the court docket to buy a preliminary and permanent injunction to enjoin and restrain the QuivvyTech defendants from targeting and soliciting Humana associates.

Humana is requesting a jury demo.

The lawsuit was submitted August twenty in U.S. District Court docket Southern District of Florida.

QuivvyTech could not be immediately attained for remark.

Twitter: @SusanJMorse
E mail the writer: [email protected]