Home Health Care 2 Jacksonville Aetna healthcare employees arrested for falsifying claims, leading to $1.14 million in fraud

2 Jacksonville Aetna healthcare employees arrested for falsifying claims, leading to $1.14 million in fraud

by Universalwellnesssystems

Duval County, Florida – Duval County Chief Financial Officer announced the arrest One of two Jacksonville women who filed at least 42 fraudulent insurance claims and collected a total of $1.14 million.

Employees of the healthcare company Aetna allegedly submitted false insurance claims and uploaded false documents to support the claims. According to the Florida Department of Financial Services (DFS) and the Criminal Investigation Division (CID), the scheme ran from 2019 to 2023 and resulted in one employee losing more than $408,000 and one employee making false claims. He reportedly received more than $736,000.

The statement said both women were well-versed in handling hospital, accident, and critical voluntary supplementary plans and uploaded false medical bills and explanations of benefits for procedures for which patients were not actually treated. .

“It’s amazing how bad actors commit fraud and game the system to make a quick buck,” Patronis said. Said. “I salute the insurance fraud detectives who arrested these fraudsters and put them in prison, where they belong. Insurance fraud is driving up the insurance costs of hard-working Floridians. As CFO of , we will continue to reduce fraud and hold criminals accountable. If you or someone you know suspects fraud, report it immediately to: please. FraudFreeFlorida.com

Patronis announced both The individuals were charged with false insurance claims and conspiracy to defraud. If convicted, each faces up to 30 years in prison.

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