The Civil Police of Rio de Janeiro carried out an operation against health insurance fraud in the state, this Monday morning (25).
The action carried out 15 search and seizure warrants against 11 targets investigated. The main targets of the operation were involved in the scheme.
Agents from the Consumer Police Department (Decon) and the General Department of Specialized Police (DGPE) participated in the action that sought to seize documents, cell phones and electronic devices.
See videos below of Operation Scalpel.
The warrants were carried out in the neighborhoods of Barra da Tijuca, Jacarepaguá, Leblon and Ipanema, in Rio de Janeiro, and also in Duque de Caxias, in Baixada Fluminense.
Understand the research
According to Decon’s chief delegate, Wellington Pereira Vieira, the scheme caused a loss of around R$50 million to health plans.
The investigation shows that the group filed requests for injunctions in court to speed up the approval of overpriced surgeries that were paid for by health plans.
The suspects also requested refunds for services that had not been carried outaccording to the delegate leading the investigations.
The police also point to the participation of companies supplying orthoses, prostheticsand special materials, which were sold at a high cost and were also paid for by health plans.
