Kathleen C. Ridgway, a Beverly Hills office manager, was arrested at work on Aug. 7 on one felony count of insurance fraud and one count of grand theft. The L.A. County District Attorney’s office is prosecuting the case.
CDI fraud investigators received information from Aetna U.S. Healthcare that the 37-year-old woman had submitted fraudulent reimbursement claims supported by fabricated medical expense forms and receipts for prescriptions that she supposedly obtained. An Aetna investigation revealed that these reimbursement claims were for prescriptions that Ridgway did not actually obtain—or pay for.
Ridgway allegedly submitted fabricated prescription claim documents to Aetna from 1997 to August 1999, according to CDI fraud investigators. The investigation identified more than $170,000 in invalid prescription claims.
Topics Fraud
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