FL: Clinic Owner & Patient Broker Arrested in Insurance Fraud Scam

This was reported last month, but I seem to have missed it until now. As it involves the misuse of patient information for fraud, I decided better to post it late than never:

As a result of a joint investigation by the Miami-Dade State Attorney’s Office and the Miami-Dade Schools Police Department, 55 year old Violeta Otero, the owner and operator of the Sunshine Wellness Clinic and 52 year old Ida Mercado Rico, a patient broker, were charged in an insurance fraud scheme which targeted the Miami-Dade School System by defrauding its self-insurance plan.

Utilizing forms previously completed at the Sunshine Wellness Clinic, insurance accounts of a number of Miami-Dade School District patients were filed for medical treatments and injections which never occurred. Many of these patients were initially recruited to come to the clinic by Ida Mercado Rico and were often paid in cash by Ida Mercado Rico.

Read more on Miami-Dade State Attorney’s Office

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