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At first glance, the arrangement, known as “factoring,” might seem unbalanced. But Dr. Moy rationalized that he needed cash, and that most insurance companies, when they paid a claim, usually only paid 70 or 80 percent anyway.
Throughout this arrangement, prosecutors would later charge, Dr. Moy was also engaged in a sprawling plot to draw tens of thousands of car crash victims into his and other doctors’ practices. The ringleader of this more than $70 million enterprise, according to a 2022 federal indictment, was Mr. Pierre, the man who was keeping Dr. Moy afloat with his instant 35 percent payouts on outstanding insurance claims.
In the description of the enterprise in the indictment, people called “runners” bribed hospital workers, 911 dispatchers and police officers to slip them names of people hurt in car crashes. The runners then contacted the victims and directed them to Dr. Moy or another clinic in the group. The indictment does not identify any of the police officers or dispatchers who are said to have provided information.
Once the patients arrived at his clinics, Dr. Moy “conducted unnecessary and excessive medical treatments” to drive up the insurance claims, the indictment states. The conduct began early in Dr. Moy’s career, prosecutors charged.
Court records suggest that with the arrival of the criminal charges this year, Dr. Moy turned on Mr. Pierre. In three meetings with investigators, Dr. Moy “made damaging admissions to the prosecution team” and told them that in fact, Mr. Pierre ran his medical practice, according to a motion filed by Mr. Pierre’s lawyers seeking a separate trial.
His wife had filed for divorce years earlier, and Dr. Moy had moved to a separate apartment in the same building, three stories above, where he lived alone.
By the spring of this year, Dr. Moy was unmoored from his life and routines, unable to practice medicine pending a trial in his case.
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Michael Wilson
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