A conspiracy involving fraudulent insurance claims led to Aflac paying out close to $1 million over two years, federal prosecutors allege in an indictment.
Danielle Mahone, who worked for the Columbus insurer, and Travis Washington were indicted last week on charges including conspiracy to commit health care fraud and health care fraud, court records state.
According to the pair’s indictment, Mahone worked in Aflac’s claims department from late 2002 to February 2006. She was familiar with what it took to make insurance claims, and Washington asked her for advice about making false claims, the indictment states.
Between July 1, 2007, and Feb. 26, 2009, the pair got co-conspirators, who aren’t listed in the indictment, to submit insurance information they knew would be used for false claims. In one example, someone provided a doctor’s letter, vehicle accident report, radiology records and hospital reports, which were then altered, to back up a false claim, court records state.
Aflac sent a check to the unnamed person, Washington got a cut of the money and he then gave Mahone $10,000 for her help, the indictment states. Sometimes Washington and Mahone received no money for their help, court records state.
In addition, Mahone faces 23 counts while Washington faces 15 counts of health care fraud. Both are accused of stealing money for themselves and others. Each check from Aflac counts as a separate charge, the indictment shows.
Washington also faces a charge of making false statements. He’s accused of saying that he never got any money for filing any false claim to Aflac, court records state.