The case traces back to a lawsuit GEICO filed against Igor Mayzenberg and several acupuncture businesses he owned, including Mingmen Acupuncture, P.C., Laogong Acupuncture, P.C., and Sanli Acupuncture, P.C. GEICO alleged that the defendants paid third parties to steer patients with no-fault insurance coverage to Mingmen, which then treated the patients and billed GEICO for the services. The insurer characterized the payments as kickbacks.