Some doctor shoppers don't use coupons, they steal identities

In the fall of 2014, the Oakland County Sheriff Department asked the Corporate & Financial Investigation Department for help regarding a criminal investigation for identity theft and prescription fraud where a Blue Cross Blue Shield of Michigan member was the suspect. 

The member was arrested for passing fraudulent prescriptions written under the name and DEA number of a participating provider. The suspect then used her Blue Cross insurance card to pay for the prescriptions for her spouse and herself.

In late 2014, the sheriff’s office authorized a three-count felony warrant for manufacturing a fraudulent prescription form.  

The same Blue Cross member was previously convicted in 2013 for identity theft in Oakland County. That case involved the fraudulent use of another person’s Blue Cross insurance card to get narcotic prescriptions.

In early 2015, the defendant pled guilty on all counts and was sentenced to 90 days in the Oakland County Jail, to be followed by three years probation and a one-year suspension of driving privileges.

Blues members who suspect health care fraud are urged to call our Anti-Fraud Hotline at 1-800-482-3787 or report fraud through our website at bcbsm.com.