Articles Tagged with identity theft

IMG_0429-300x200Terry Anderson and his son, Rocky Anderson, were found guilty of multiple counts of health care fraud and aggravated identity theft following a 10-day trial in 2018. On Thursday, August 5th, 2019, it was announced that the duo would serve eight and seven years in prison, respectively. In total, Terry Anderson and Rocky Anderson were found to have submitted more than $27 million in fraudulent hearing aid claims to Blue Cross and Blue Shield of Texas.

According to the Department of Justice, the Andersons ran a business called Anderson Optical & Hearing Aids Center, which had multiple locations in Texas. This business was used to submit the defendants’ fraudulent claims to Blue Cross and Blue Shield, although many of the patients did not require hearing aids or never received them.

In an effort to gain additional patients for more claims, the defendants performed multiple marketing tactics, including the promise of free high-end sunglasses, gift cards, or prescription eyeglasses for participating in a complimentary hearing test. Upon completing the hearing test, many patients were told that they suffered from mild hearing loss and required the use of hearing aids. Patients were then asked to sign a consent form for the ordering of the hearing aids, which would also be provided at no cost. The Anderson pair also told patients that copayments and deductibles would be waived.

IMG_0367-300x200Michael Bang, of Mesa, Arizona, was indicted on 20 counts of health care fraud, aggravated identity theft, and wire fraud following the investigation of a health care fraud scheme targeting the Colorado Public Employees Retirement Association (COPERA).

According to the Department of Justice, Bang was able to steal around $300,000 through his health care fraud scheme. An investigation by the Federal Bureau of Investigation discovered that Bang had been taking advantage of COPERA’s health insurance program, PERACare, for his role as a retired public employee of Colorado. PERACare utilized Express Scripts to administer the prescription coverage of its patients. Although Bang received prescriptions from the program, he filed for reimbursements for more expensive versions of the drugs he had received or for prescriptions he had not received at all. For several years, the health care fraud scheme orchestrated by Bang was successful and grew to involve three pharmacies.

As part of his health care fraud scheme, Bang forged the signatures of pharmacists, while falsifying the prescription numbers on the submitted reimbursement forms. Bang also requested reimbursements for out-of-pocket expenses that had never been utilized.