Sonoma West Medical Center Accused Of Running $13.5M Fraud Scheme
Anthem Blue Cross states that the medical center “appears to have conspired with several third parties to fabricate or misrepresent claims for toxicology testing services that were improperly billed to Anthem.”
Santa Rosa Press Democrat:
Health Insurance Giant Accuses Sonoma West Medical Center Of Fraudulent Billing
Health insurance behemoth Anthem Blue Cross is accusing Sonoma West Medical Center and Palm Drive Health Care District of participating in a business fraud scheme that has resulted in more than $13.5 million in improper payments to the medical center. In a Feb. 9 letter to both the district and medical center, Anthem threatened legal action and demanded the money be repaid. District and hospital officials say they’ve done nothing wrong and are preparing a response to the insurance giant. (Espinoza, 2/21)