IRVINE COUPLE CHARGED WITH MULTIPLE FELONY COUNTS OF MEDICAL INSURANCE FRAUD, IDENTITY THEFT, AND CONSPIRACY

The following information was released by the California Department of Insurance:

Rebecca Juarez, 39, and Juan Pablo Rodriguez, 31, both of Irvine were arrested on two counts of conspiracy, 21 counts of medical insurance fraud, and 21 counts of identity fraud for allegedly running an insurance fraud scheme where the couple stole more than 21 patients' identities and submitted false insurance claims.

Investigators with the California Department of Insurance began an investigation after several Orange County residents reported the unauthorized use of their personal information to the Orange County Sheriff's Department when they noted charges on their explanation of benefits provided by their health insurers for medical testing and treatment they never received.

The investigation revealed that Juarez, on behalf of Rodriguez, unlawfully accessed the computerized medical records system of a Mission Viejo medical practice where she worked. Juarez allegedly stole the personally identifying information of over 21 patients, which she then shared with Rodriguez who had access to a San Jose medical practice's billing system. Rodriguez created false medical records for medical testing including COVID tests that were never performed. Rodriguez submitted those records through the San Jose medical practice's insurance billing system resulting in the submission of fraudulent insurance claims.

Investigators determined that the unauthorized billing charges were submitted to various medical insurers between August and November 2023. The total estimated intended loss to the insurance companies exceeded $10,000.

On September 16, 2025, both Rodriguez and Juarez were arraigned on a criminal complaint filed in the Orange County Superior Court, and granted conditional releases. The couple are due back in court December 3, 2025. The Orange County District Attorney's Office is prosecuting this case.

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Led by Insurance Commissioner Ricardo Lara, the California Department of Insurance is the consumer protection agency for the nation's largest insurance marketplace and safeguards all of the state's consumers by fairly regulating the insurance industry. Under the Commissioner's direction, the Department uses its authority to protect Californians from insurance rates that are excessive, inadequate, or unfairly discriminatory, oversee insurer solvency to pay claims, set standards for agents and broker licensing, perform market conduct reviews of insurance companies, resolve consumer complaints, and investigate and prosecute insurance fraud.