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Frank John Leli, a former business analyst for Blue Cross Blue Shield of Florida (“BCBS”), has been charged with defrauding BCBS of nearly $40,000 by submitting more than 350 claims for medical services that had never occurred.

According to Florida Chief Financial Officer Jeff Atwater and the Department of Financial Services’ Division of Insurance Fraud (“DIF”), in August 2014, BCBS became suspicious of Mr. Leli’s activities after recognizing a pattern in which he submitted multiple medical claims on his own behalf during a short period of time. The DIF said that, at first glance, 27 claims were found to have been filed related to alleged treatments by a Jacksonville-based marriage and family therapist. BCBS contacted the therapist, the DIF said, and the therapist verified only 12 of the 27 claims. The remaining claims were for medical treatments that never took place, according to the DIF. 

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