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Dateline investigates State Farm Insurance Company and its little-known practice of "paper review." In a paper review, State Farm employees review a patient's medical records rather than actually examining the patient. The Dateline crew discovered that some State Farm employees use this practice to manipulate the system. For example, the crew found that some employees "secretly orchestrated the supposedly independent medical results, helping author reports and dictating changes to medical opinions that led to lower recommended payments for medical claims."
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