X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

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. 

This premium content is locked for
Insurance Coverage Law Center subscribers only.

Start a free trial to enjoy unlimited access to the single source of objective legal analysis, practical insights, and news for the insurance industry.

  • Access the most current expert analysis and daily developments across jurisdictions
  • Solve complex research issues with expert tools and intelligence
  • Tap into insurance coverage expert guidance

Already have an account?
For enterprise-wide or corporate access, please contact our Sales Department at 1-800-543-0874 or email [email protected].

 

Copyright © 2021 ALM Media Properties, LLC. All Rights Reserved.