Man sentenced to prison for $30M scheme that defrauded major payers

A Tulsa, Okla., man was sentenced to 54 months in prison for a scheme that involved submitting more than $30 million in claims to major payers for COVID-19 testing services that were never performed. 

William Gray, 50, admitted that he and his co-conspirators accessed private patient information from electronic medical records, according to a Nov. 30 Justice Department news release. They then used the information to submit claims to insurance providers for COVID-19 testing services that were never performed. 

The insurance companies that were billed fraudulent claims were Blue Cross Blue Shield, Cigna, UnitedHealthcare, Aetna, Humana and Molina Healthcare. The companies collectively reimbursed $7 million of the fraudulent claims. Mr. Gray was ordered to pay that amount in restitution. 

Three others were charged in the scheme, according to the release. Two have pleaded guilty to charges and are awaiting sentencing. 

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