Delaware Woman Indicted for $16K of Fraudulent Insurance Claims

August 12, 2019

A Wilmington, Del., woman was indicted by the New Castle County Grand Jury for insurance fraud and other felony charges.

Theresa T. Milton was indicted on seven felony counts of insurance fraud, one felony count of theft by false pretense and one count of falsifying business records.

An investigation by the Delaware Department of Insurance Fraud Prevention Bureau revealed that beginning on May 4, 2017, and continuing through around September 28, 2017, Milton submitted false claims for emergency medical services to Highmark BCBS of Delaware totaling slightly more than $16,000. She had falsified invoices for out of network ambulance services and submitted claims for payment for those services to Highmark BCBS of Delaware.

Highmark became suspicious of one of the claims and made an inquiry to the ambulance service. It was discovered that the claims appeared to be false, and the case was referred to the Department of Insurance Fraud Prevention Bureau for investigation. The investigation substantiated the false claims with fictitious business records, and the indictment was issued.

“The Fraud Unit of the Delaware Department of Insurance takes these cases seriously and actively investigates all reported cases of insurance fraud,” Delaware Insurance Commissioner Trinidad Navarro said in a press release issued by the Delaware department of Insurance. “We work closely with our partners at the Delaware Department of Justice to see these cases through, protecting consumers. A case such as this brings to light that insurance fraud costs everyone.”

Source: The Delaware Department of Insurance

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