One-time Milford chiropractor pleads guilty to false statements in insurance fraud case - Insurance News | InsuranceNewsNet

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December 12, 2024 Newswires
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One-time Milford chiropractor pleads guilty to false statements in insurance fraud case

(Special to Delaware Business Now)Delaware Business Daily

Pierre Charles Moise, 57, of Apopka, FL, pleaded guilty on December 10 in the U.S. District Court for the District of Delaware on a charge of concealing from insurance companies the fact that he paid patients to attend his chiropractic clinic.

According to court documents, Moise owned and operated the Wellness Health Center, a chiropractic clinic, in Milford.

From January 2019 and March 2022, Moise, himself and through others, paid patients who had been in recent car accidents to attend treatment sessions at the WHC regardless of whether that treatment was needed.

Court documents reported that WHC employees then submitted claims for reimbursement to insurance companies, who, under Delaware's no-fault Personal Injury Protection law, were obligated to pay WHC for that treatment. Moise and WHC received over $630,000 from insurance companies.

Moise pleaded guilty to making a false statement relating to health care matters and faces a maximum penalty of five years in prison. Sentences are typically shorter in length.

A federal district court judge will determine any sentence after taking into account the U.S. Sentencing Guidelines and other statutory factors.

"Moise's business model revolved around defrauding automobile insurers. Instead of operating a legitimate chiropractic clinic, he actively sought patients who did not need treatment, paying them to visit his office unnecessarily and then filing fraudulent claims," said FBI Baltimore Special Agent in Charge William J. DelBagno. "Insurance fraud is not a victimless crime. It costs taxpayers millions of dollars every year. The FBI will continue to collaborate with our partners to ensure those who engage in such deceptive actions are held accountable."

This case was investigated by the FBI Baltimore Field Office's Wilmington Resident Agency with assistance from investigators with the Delaware Department of Insurance Fraud Prevention Bureau. Assistant U.S. Attorneys Jesse S. Wenger, Meredith C. Ruggles, and Shamoor Anis are prosecuting the case.

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