4 Charged in False Brain Surgery Claims
by GrinningFool on Monday, June 4th, 2007 | No Comments
Four people billed a health insurance company for 20 brain operations that were never performed on them, sometimes for the same person on multiple occasions, authorities said.
One 36-year-old man from New York City claimed nine brain surgeries for himself, along with his wife and two sons, receiving reimbursements from New York-based Group Health Incorporated totaling $142,268, federal investigators said Friday.
GHI paid out more than $300,000 in reimbursements to all four defendants, based on the claims.
Besides the 36-year-old man, an indictment filed in federal court alleges that a 39-year-old man from Mount Vernon, a 42-year-old woman and a 37-year-old man, both from New York City, defrauded the insurance company.