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Insurance Fraud Victories

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Insurance Fraud Victories

Not Charged (Related to High-Profile $1.3 Billion Dollar Multistate Healthcare Fraud Investigation) | Federal Felony Insurance Fraud ($127,000) “Stark” Violation Per 42 USC 1395, Felony Fraudulent Schemes (Illegal Referral Fees Per ARS 13-3713), and Felony Theft

State v. Mr. B (DMC No. 16073)

Federal DEA Fraud Task Force and Yavapai County Insurance Detectives Investigated

Not Charged | Felony Insurance Fraud ($59,000) / Fraudulent Schemes

State v. Mr. G (DMC No. 5236)

ARIZONA DEPARTMENT OF INSURANCE / ARIZONA ATTORNEY GENERAL’S OFFICE INVESTIGATED

Not Charged / Dismissed | Felony Insurance Fraud/Felony Fraudulent Schemes ($23,000), Felony Theft of Means of Transportation / Auto Theft, and Misdemeanor False Reporting

State v. Mr. C (DMC No. 8485)

SURPRISE CITY COURT (CASE NO. CR07-01028) SURPRISE POLICE DEPARTMENT (DR NO. 07096356)

Not Charged | Felony Insurance Fraud/Felony Fraudulent Schemes ($5,000) | State v. Mr. S.

PROGRESSIVE INSURANCE COMPANY INVESTIGATED (DMC NO. 15151)

Not Charged (and Physical Therapy License Not Revoked at Professional Hearing) | Felony Medicare Insurance/Benefits Fraud ($1,500 Misappropriated from Medicare), Felony Fraudulent Schemes, and Felony Forgery

State v. Mr. K. (DMC No. 13080 and DMC No. 11324)

ARIZONA BOARD OF PHYSICAL THERAPY INVESTIGATED

Not Charged | Felony Insurance Fraud/Felony Fraudulent Schemes | State v. Mr. L

PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD AND PEORIA POLICE DEPARTMENT INVESTIGATED (DMC NO. 13421)

Not Charged | Felony Insurance Fraud/Felony Fraudulent Schemes, and Felony Theft of Means of Transportation / Auto Theft

State v. Mr. P (DMC No. 8525)

ARIZONA DEPARTMENT OF INSURANCE INVESTIGATED

Not Charged | Felony Insurance Fraud/Felony Fraudulent Schemes | State v. Ms. K

PRUDENTIAL INSURANCE COMPANY INVESTIGATED (DMC NO. 13763)

Not Charged | Felony Fraudulent Schemes, Felony Insurance Fraud, and Felony Theft

State v. Ms. L (DMC No. 6458)

DEPARTMENT OF INSURANCE FRAUD UNIT (CASE NO. DR05-00084) / ARIZONA ATTORNEY GENERAL’S OFFICE INVESTIGATED

Reduced to Probation (with Zero Days of Actual Jail) | Felony Benefits Fraud ($50,800 Misappropriated from SSI)/Felony Fraudulent Schemes, and Felony False Swearing

State v. Ms. M (DMC No. 12750)

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2014-002739)

Reduced to Class 6 Open / Misdemeanor (with Zero Days in Jail) | Felony Insurance Fraud/Felony Fraudulent Schemes ($28,000), and Felony Theft | State vs. Ms. S.

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2014-004808) (DMC NO. 12419)

Reduced to Theft Class 6 Open/Misdemeanor (which was later Reduced to a Misdemeanor and Zero Days in Jail) | Felony Insurance Fraud/Fraud Schemes ($19,900)

State v. Mr. & Mrs. B (DMC No. 4545 & 4546)

PINAL COUNTY SUPERIOR COURT (CASE NO. CR 2004-00404; CR 2004-00405)

Reduced to Misdemeanor (with Zero Days in Jail) | Felony Theft/ Insurance Fraud ($5,000) | State v. Mr. W

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2004-020375) (DMC NO. 6218 )

Reduced to Probation Class 6 Open/Misdemeanor (with Zero Days in Jail) | Felony Attempted Theft, and Felony Insurance Fraud/Felony Fraudulent Schemes | State v. Mr. L

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2006-006792) (DMC NO. 6219)

Reduced to Forgery (with Zero Days in Jail) | Felony Fraudulent Schemes/Insurance Fraud | State v. Mr. G

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2006-007285) (DMC NO. 6709)

Reduced to Misdemeanor (with Zero Days in Jail) | Felony False Insurance Claim (Insurance Fraud)/Felony Fraudulent Schemes

State v. Mr. V (DMC 10132)

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2010-163256-002

Reduced to Forgery (with 90 Days in Jail) | Felony Insurance Fraud/Felony Fraudulent Schemes ($14,400), and Felony Theft | State v. Mr. S

MARICOPA COUNTY SUPERIOR COURT (CASE NO. CR2013-432074) (DMC NO. 11535)

Vacated Suspension of Physical Therapy License at Board Hearing | Insurance Fraud/Medical Billing Fraud

State v. Mr. K (DMC N. 11324)

ARIZONA BOARD OF PHYSICAL THERAPY (COMPLAINT NO. 12-41)

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