The group of scammers appears to be more of a family clan than a regular group of thieves, police information reported.
Agents of the Federal Bureau of Investigation (FBI) arrested nine individuals in Miami for defrauding 37 million dollars from the Blue Cross Blue Shield health care network.
According to the report, the gang of scammers appears to be more of a family clan than a regular group of thieves, given the family relationships between them.
They each face multiple counts of conspiring to defraud the medical network and actually defrauding the aforementioned sum.
The prosecutor’s indictment alleges that the group of fraudsters paid kickbacks to customers of insurance plans administered by Blue Cross and offered payments to employees of JetBlue Airways, AT&T and TJX Companies to be enrolled “as patients in various South Florida physical therapy clinics.” .
“The defendants, who owned clinics, submitted false health insurance claims to Blue Cross for health care benefits that were medically unnecessary and were not even provided,” the report noted.
In addition, the scam gang paid therapists to act as nominal owners and operators of physical therapy clinics.
Each of the nine detainees faces up to 10 years in prison for each charge.
The National Health Care Anti-Fraud Association estimates that fraud against health networks, including public and private entities, amounts to between 60,000 and 100,000 million dollars each year.
For this reason, the FBI has a special team that investigates, with jurisdiction over federal programs such as Medicare and Medicaid and private insurance programs, to detect scams and fraud attempts, with the help of regional authorities and members of organizations that could be targeted. of deceit
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