A claim for which of the following would be considered fraudulent?

A claim for services that the provider knows is not reasonable and necessary is considered fraudulent because it involves intentional deceit regarding the medical necessity of the services rendered. In the healthcare setting, providers are obligated to ensure that the treatment they bill for is not only appropriate for the patient's condition but also aligns with established standards of care. When a provider knowingly submits a claim for services that they realize do not meet these criteria, it constitutes fraudulent activity, as it misleads payers into reimbursing for unnecessary procedures, ultimately leading to financial losses and potential harm to the healthcare system.

The other options pertain to legitimate practices within healthcare. Claims for medically necessary services or those delivered by licensed individuals reflect adherence to necessary standards, while claims for authorized treatments typically indicate that the services provided were preapproved and align with patient care standards. Each of these scenarios supports the ethical and legal framework of healthcare billing and would not be classified as fraudulent.