Shadow Billing in Healthcare: Definition, Risks & Legal Consequences

Shadow billing is a fraudulent practice where a healthcare provider bills for services never rendered, bills for services provided by another provider, or bills for services not covered by the patient's insurance.

It is illegal and carries severe penalties: fines, imprisonment, and loss of medical license. It can also damage the patient's credit score and future insurance eligibility.

Signs You May Be a Victim

• Bills for services you never received
• Bills for services from another provider
• Bills for non-covered services
• Unexplained credit score drop
• Unexplained denial of future health insurance

If you suspect shadow billing, contact your insurance company and the state attorney general's office immediately. Consider consulting a consumer protection attorney.