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Division of Insurance Fraud
Welcome to the Division of Insurance
Fraud
BE ON THE LOOK OUT
TALLAHASSEE -- Florida's State Insurance Commissioner
issued an alert for three suspects being sought on state charges of
fabricating health insurance claims worth an estimated $10 million.
Facing prior federal charges for drug trafficking, the
three Miami men are believed to have fled to Bogota, Colombia.
Last month, a Statewide Grand Jury focusing on insurance
fraud indicted them and a fourth Miamian on charges of insurance fraud,
grand theft and racketeering. State Division of Insurance Fraud
investigators on Feb. 24 arrested Nelson Vallin, 53, a licensed insurance
agent.
The three suspects still at large are Alex Neyman, 51, and
his sons, Samuel Hernandez, 29, and Luis Hernandez, 26. Although
investigators believe the suspects may have fled the U.S. for Colombia, Luis
Hernandez was seen as recently as last month at a Denny's Restaurant in
Southwest Miami. Neyman was last seen in the Miami area in January 1997, and
Samuel Hernandez was seen there in February.
How the scheme works: Fraud artists target both patients,
doctors and companies alike. They gain access to patient histories and
doctors' identification numbers, and then submit fabricated claims to
insurance companies for procedures and tests on patients who may never have
had any health problems at all. The claims checks are then mailed to the
perpetrators' rented post office boxes, retrieved by a runner, and cashed.
One facet of this problem, is patients who may never have
had health problems before could have a false health history created for
them in this type of insurance crime. As a result, they could be refused
insurance in the future if they change jobs or policies.
All told, medical claims fraud nets insurance fraud
criminals about two thirds of the staggering $6.9 billion per year it costs
Florida. This insurance crime alone costs each Florida family more than
$1,000 per year in higher premiums.
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Photos of the suspects:
SAMUEL JOSE HERNANDEZ |
LUIS ADOLFO HERNANDEZ |
ALEX NEYMAN
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MIAMI, FL
Alex Neyman, and his sons, Samuel Hernandez, and Luis Hernandez, are wanted
on state charges of insurance fraud, grand theft and racketeering for
fabricating health insurance claims worth an estimated $10 million. The
three men are believed to have fled to Bogota, Columbia.
ALEX NEYMAN
AKA: Jose Luis Hermandez-Dominguez, Jose A.
LaCau, Jose Andres LaCau Munoz, Cristobal Martinez, Jorge Antonio Diaz
DESC: White/Hispanic Male, 5'10, 185lbs., brown hair, brown eyes
LKA: 11110 SW 36 Street NE Miami, Fl 33165 FLDL: N550-000-46-409-0,
H655-432-46-409-0, also used DL's: L450-022-44-708, D451-043-46-384
Date of Birth: 11/9/1946
SAMUEL JOSE HERNANDEZ
AKA: Francisco Reina, Francisco Reina
Rodriguez, Jose Parra, Jose Antonio Parra De La Fuente, Miguel Batiste
DESC: White/Hispanic Male, 5'8, 250lbs., brown hair, brown eyes LKA:
14931 SW 164 Terrace Miami, FL 33187 FLDL: H655-790-68-446-0 Date
of Birth: 12/6/1968
LUIS ADOLFO HERNANDEZ
AKA: Luis Fernandez DESC: White/Hispanic
Male, 6'0, 300lbs., brown hair, brown eyes LKA: 11110 SW 36 Street
Miami, FL 33165 FLDL: H655-521-71-048-0 Date of Birth: 2/8/1971
Information was received from numerous insurance
companies who received bills for medical treatment that their insureds never
received. It was later determined that Alex Neyman, Samuel Hernandez,
Luis
Hernandez, and Nelson Vallin were
involved in collecting the proceeds from fraudulent medical insurance
billing using the names of approximately one hundred and sixty (160) medical
providers that did not actually exist. Furthermore, Neyman,
Samuel Hernandez, and Luis Hernandez, oftentimes using
aliases, obtained major medical insurance for eight shell corporations, and
then subsequently billed fraudulently on behalf of the alleged employees.
Investigation by the Florida Division of
Insurance Fraud has revealed that approximately nineteen (19) insurance
companies received health insurance claims made through the United States
Postal Service in 1996 and early 1997, totaling almost $5 million dollars.
Of these claims, over $725,000 have been paid to the purported medical
providers. The mailing addresses listed on the medical claim forms for these
providers were all mail drop facilities, which were rented by Neyman
or Samuel Hernandez, using several different aliases.
Nelson Vallin was arrested on February 24, 1998.
Active arrest warrants were obtained for the other three subjects, who are
at large. The charges include Racketeering, Conspiracy to Commit
Racketeering, numerous counts of Grand Theft First Degree, Second Degree,
Third Degree and Insurance Fraud.
Luis Hernandez was seen as recently as
February, 1998 at a Denny's Restaurant in Southwest Miami. Neyman was
last seen in the Miami area in January 1997, and Samuel Hernandez was seen
there in February, 1997.
Anyone having information
about the location of these suspects is urged to contact:
The Department of Insurance Division of Insurance Fraud
Investigator Anne Erwin
1655 Palm Beach Lakes Blvd.,
Suite 704
West Palm Beach, Florida 33401
(561) 688-7751, Ext. 315
reference case #MP-97-21-006.
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