Letter to the Regional Crown Prosecutor
April 25, 2008
Regional Crown Prosecutor
Public Prosecutions Division
Saskatoon, Saskatchewan
Canada S7K 2H6
Dear Regional Crown Prosecutor:
This letter follows up on my previous report regarding fraudulent billing from the GP group Dr. A. Nayar, Dr. R. Khan, Dr. J. Datta, and Dr. A. Dangor who practice at 125 - 750 Spadina Crescent East, Saskatoon in the province of Saskatchewan, Canada.
From 2003 to 2007, these physicians billed $2,902.00 for 134 appointments which did not exist. I complained once to the College of Physicians and Surgeons; once to the Saskatoon Police; once to the Crown Prosecutor’s Office; and twice to Saskatchewan Health to their billing arm known as the Medical Care Insurance Branch (MCIB). The fraud continued. I thought this was brazen. In 2007, I decided to write directly to the medical clinic to request my chart. The clinic head, Dr. Nayar, then had to admit that only two appointments actually took place, for a total fee of $39.00.
Subsequently, MCIB ordered this group of doctors to cease their inappropriate billing, and to repay the funds they wrongfully obtained. Refer to the letter from MCIB dated November 15, 2007.
The issue is far from closed, however. This physician group defamed my character. Under my name and my health-card number, they claimed a vast quantity of fictitious medical services at an average rate of twice per week, with each of the four doctors’ names appearing in rotation. Anyone who was shown the Billing Statement would perceive a false profile of the patient that is very damaging. A scam of this magnitude can only be remedied by a correction of the Billing Statement in a format that is detailed and accessible to me the patient.
The motive for the over-billing may be just greed. Equally possible, the motive might be to discredit my reputation while the legal matter involving Dr. Joel Yelland is before the courts. That is a strong possibility, and it is wise to so notify the Justice Department.
Sincerely,
Georgena Sil, M.Sc., Canadian Association of Physicists
Enclosures:
- Medical chart of Georgena Sil, from clinic of Dr. Nayar
- Letter from MCIB to Georgena Sil dated November 15, 2007
Letter to the Saskatoon Police Service
April 25, 2008
Staff Sergeant Kirk Dyck
Commercial Crime Section
Saskatoon Police Service
Saskatoon, Saskatchewan
Canada S7K 3R6
Dear Staff Sergeant Kirk Dyck:
This letter follows up on my previous report regarding fraudulent billing from the GP group Dr. A. Nayar, Dr. R. Khan, Dr. J. Datta, and Dr. A. Dangor who practice at 125 - 750 Spadina Crescent East, Saskatoon. Refer to the SPS File 2006-35032.
From 2003 to 2007, these physicians billed $2,902.00 for 134 appointments which did not exist. I complained once to the College of Physicians and Surgeons; once to the Saskatoon Police; once to the Crown Prosecutor’s Office; and twice to Saskatchewan Health to their billing arm known as the Medical Care Insurance Branch (MCIB). The fraud continued. I thought this was brazen. In 2007, I decided to write directly to the clinic to request my chart. The clinic head, Dr. Nayar, then had to admit that only two appointments actually took place, for a total fee of $39.00.
Subsequently, MCIB ordered this group of doctors to cease their inappropriate billing, and to repay the funds they wrongfully obtained. Refer to the letter from MCIB dated November 15, 2007.
The issue is far from closed, however. This physician group defamed my character. Under my name and my health-card number, they claimed a vast quantity of fictitious medical services at an average rate of twice per week, with each of the four doctors’ names appearing in rotation. Anyone who was shown the Billing Statement would perceive a false profile of the patient that is very damaging. A scam of this magnitude can only be remedied by a correction of the Billing Statement in a format that is detailed and accessible to me the patient.
The motive for the over-billing may be just greed. Equally possible, the motive might be to discredit my reputation while the legal matter involving Dr. Joel Yelland is before the courts. That is a strong possibility, and it is wise to so notify the Justice Department.
Sincerely,
Georgena Sil, M.Sc., Canadian Association of Physicists
Enclosures:
- Medical chart of Georgena Sil, from clinic of Dr. Nayar
- Letter from MCIB to Georgena Sil dated November 15, 2007
Letter to Saskatchewan Health
October 18, 2007
Brad Havervold, Executive Director
Medical Services Branch, Saskatchewan Health
Regina, Saskatchewan, Canada S4S 6X6
Dear Mr. Havervold:
This letter follows up on my complaint of fraudulent billing by the GP group Dr. A. Nayar, Dr. R. Khan, Dr. J. Datta, and Dr. A. Dangor who practice at 125-750 Spadina Crescent East, Saskatoon, Saskatchewan, S7K 3H3.
In March 2006 I forwarded a complaint to the College of Physicians and Surgeons of Saskatchewan, who sent it to MCIB since you are the payment arm of Saskatchewan Health. Up to that point the Nayar group had billed $1,956.00 against my personal health-card for a series of 95 appointments which did not exist. The problem started in September 2003 and was still ongoing.
In February 2007 I wrote to Benefits and Inquiries for an updated statement of medical services. The time period I specified was from the current date of February 2007 all the way back to September 2003, as I wanted to see whether the fraudulent billings had been removed.
When that statement arrived it showed the problem was not solved: The history portion of the statement was the same as before, with the 95 known false appointments still listed. Worse, the new portion of the statement showed 39 additional false appointments billed by the Nayar group. These occurred between the dates 26/02/2006 and 13/01/2007, at a cost of $946.00.
The Nayar group has now billed MCIB a grand total of $2,902.00 for 134 non-existent appointments. To verify my complaint, I wrote to Dr. Nayar and associates to request a copy of my records from their office. They did provide my chart and a cover letter in which Dr. Nayar states:
“We are enclosing the copy of your medical chart from the only two visits you have made to our clinic dated Sept 16/03 and Sept 26/03. We have not seen you as a client in the Whitecap Care Home and an error has been made concerning the billing.”
I ask that Medical Services ensure and verify the following:
(1) That the false billings from Dr. Nayar, Dr. Khan, Dr. Datta, and Dr. Dangor cease.
(2) That each and every one of the 134 fraudulent entries is removed from my statement of medical services dating back to September 2003.
(3) That MCIB is refunded in full for the over-billed amount of $2,902.00.
Yours truly,
Georgena Sil, M.Sc., Canadian Association of Physicists
Enclosures:
- 2007 March 8: Reply to Sil from Sask-Health Benefits and Inquiries
- 2007 March 1: Dr. Nayar cover letter to Sil, plus two-page chart
- 2007 Feb 23: Letter from Sil to Sask-Health Benefits and Inquiries
- 2007 Feb 22: Letter from Sil to Dr. Nayar, requesting copy of chart
- Statement of Medical Services for Sil spanning 16/09/2003 to 25/01/2007
- 2006 May 26: Reply to Sil from Brad Havervold of Sask-Health MCIB
- 2006 March 22: Letter from Sil to Sask-Health Benefits and Inquiries
- 2006 March 22: Sil formal complaint to College of Physicians and Surgeons
- 2006 Feb 27: Letter to Sil from Regulatory Services Coordinator of the College of Physicians and Surgeons
