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Woman Charged with Fraud Based on Prescriptions

2/13/2004

CONTACT: Nina Banister
(850) 413-2842

PLANTATION—A Coral Springs woman is facing an insurance fraud charge stemming from allegations that she was visiting several doctors at the same time in order to collect prescriptions for Oxycontin.

Lisa Perez, 38, of 6351 NW 52 St., Coral Springs, is also charged with two counts of withholding information from a practitioner. She was arrested Monday and booked into the Broward County Jail. If convicted, she faces up to 15 years in prison and fines.

Her arrest is based on an investigation by the Department of Financial Services, Division of Insurance Fraud, which began after Blue Cross and Blue Shield of Florida advised that it appeared Perez had obtained numerous prescriptions for the controlled substance from more than one physician within a 30-day time period.

A review of BCBSFL pharmacy data, supplied by the company's special investigation unit, and affidavits obtained from doctors who treated Perez revealed that between November 25, 2002, and March 31, 2003, Perez filled prescriptions for Oxycontin from five different physicians belonging to three different physician groups. Investigators said 16 prescriptions for Oxycontin were written within the 126-day period, and many of the prescriptions were filled within days of each other at three different pharmacy chains in Broward County. BCBSFL paid pharmacy claims totaling $936.06 submitted by three pharmacies.

The Department of Financial Services, Division of Insurance Fraud, investigates various forms of fraud in insurance, including health, life, auto, property and workers' compensation insurance. Anyone with information about this case or another possible fraud scheme should call the department's Fraud Hotline at 1-800-378-0445. A reward of up to $25,000 may be offered for information leading to an arrest and conviction.