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France Charges Seven in €58 Million Health Insurance Fraud Linked to Fake Medical Billing

Investigators detail a network that filed fictitious bills through 18 centers to exploit full reimbursements for low-income coverage.

Overview

  • Paris’s prosecutor disclosed Thursday that seven suspects were placed under formal investigation for organized fraud and money laundering, with one jailed and others under judicial control.
  • The scheme ran through at least 18 health centers across France, often billing people on Complementary Health Solidarity coverage that reimburses 100% of care costs.
  • Investigators describe the setup as using nominees, dedicated phone fleets, bank detail changes and tweaks to billing software to open accounts and reroute refunds.
  • Invoices were sometimes issued under practitioners who were not practicing, including a Marseille dentist who died in 2021, and named patients later said they never received the listed care.
  • Officials estimate €58 million in losses and say detection blocked about €16 million in payouts and seized more than €300,000, while some outlets reported 14 charged as the JIRS, OCLTI and PIEJ investigations continue.