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Verdict Form — United States v. Ron Elfenbein (D. Md., Dkt. 73, filed 08/04/23)

Summary

A Verdict Form filed August 4, 2023 as Document 73 in United States v. Ron Elfenbein, Crim. No. JKB-22-146, in the U.S. District Court for the District of Maryland (Northern Division). It lists Counts One through Five, each labeled Health Care Fraud, with a table giving a date of submission, date of service, payor, procedure code and claim amount billed. Counts One to Three name Medicare as payor, and Counts Four and Five name CareFirst BCBS. Under each count the form asks for the verdict as to the Defendant, with the choices Guilty and Not Guilty.

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Cite this document

“Verdict Form — United States v. Ron Elfenbein (D. Md., Dkt. 73, filed 08/04/23).” Original at archive.org. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/court-filing-d-md-no-1-22-cr-00146-dkt-73-d-md-32f375f764/, SHA-256 4baa0d2ded3ce24df20bf584db65ede02d6ba4e3e3bbb3c52c7d8d68c03f7f58.

Full text

Text recognized from a scanned document; may contain errors. Page 3 of 3 is not shown because the text could not be recognized reliably.

Case 1:22-cr-00146-JKB

Document 73

Filed 08/04/23

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
(Northern Division)

Page 1 of 3

UNITED STATES OF AMERICA
V. Crim. No. JKB-22-146
RON ELFENBEIN,
Defendant.
VERDICT FORM
COUNT ONE (Health Care Fraud):
Beneficiary | Date of Date of Claim No. Payor Procedure
Submission of Service Code;
Claim Amount
Billed
A.H. 03/29/2021 03/25/2021 | 691021088249240 | Medicare | CPT 99204
$354.22
What is your verdict as to the Defendant with regard to Count One of the Superseding
Indictment?
cuitty YES NOT GUILTY
COUNT TWO (Health Care Fraud):
Beneficiary | Date of Date of Claim No. Payor Procedure
Submission of Service Code;
Claim Amount
Billed
W.R. 05/03/2021 04/23/2021 | 691021123406780 | Medicare | CPT 99204
$354.22

What is your verdict as to the Defendant with regard to Count Two of the Superseding

Indictment?

GUILTY VE S

NOT GUILTY
Case 1:22-cr-00146-JKB Document 73 Filed 08/04/23 Page 2 of 3
COUNT THREE (Health Care Fraud):
Beneficiary | Date of Date of Claim No. Payor Procedure
Submission of Service Code;
Claim Amount
Billed
D.M. 05/12/2021 05/10/2021 | 691021132127230 | Medicare | CPT 99204
$354.22
What is your verdict as to the Defendant with regard to Count Three of the Superseding
Indictment?
cuitty _YES NOT GUILTY
COUNT FOUR (Health Care Fraud):
Beneficiary | Date of Date of Claim No. Payor Procedure
Submission of Service Code;
Claim Amount
Billed
JJ, 03/05/2021 03/02/2021 | 372663924 CareFirst CPT 99214
BCBS $231.50

What is your verdict as to the Defendant with regard to Count Four of the Indictment?

GUILTY / rs NOT GUILTY
COUNT FIVE (Health Care Fraud):
Beneficiary | Date of Date of Claim No. Payor Procedure
Submission of Service Code;
Claim Amount
Billed
S.T. 04/28/2021 04/19/2021 | 327993824 CareFirst | CPT 99204
BCBS $354.22

What is your verdict as to the Defendant with regard to Count Five of the Superseding

Indictment?

cuty YES

NOT GUILTY


File and source

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73.pdf
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644,269 bytes
SHA-256
4baa0d2ded3ce24df20bf584db65ede02d6ba4e3e3bbb3c52c7d8d68c03f7f58
Our copy
73.pdf
Original
archive.org
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