Man charged in $4.8M health insurance fraud scheme

HARRISBURG, DAUPHIN COUNTY (WBRE/WYOU) — Officials are charging a guy with wire fraud after investigators say he acquired above $4.8 million in a health insurance coverage businesses plan.

In accordance to U.S. Attorney John C. Gurganus, Sergey Duman, 45, of Las Vegas, Nevada, participated in a plan to defraud non-public health coverage companies in the US, and the Commonwealth of Pennsylvania among January and June 2020.

Investigators mentioned Duman obtained telemedicine enterprise Cedar Care Pharmacy in Allentown, in January 2020, and consistently submitted prescriptions that experienced been penned with out the knowledge of the shown individual.

In accordance to authorities, Cedar Treatment Pharmacy then fraudulently submitted non-public coverage and Medicaid claims for the prescriptions, even however the pharmacy never ever furnished the prescribed medicines to the individuals.

Officers say the complete total of the fraudulent statements exceeds $4.8 million.

Dunman has been charged with wire fraud. He faces the highest penalty of 20 years in jail, a time period of supervised release pursuing imprisonment, and a fantastic