NEW MEXICO ATTORNEY GENERAL HECTOR BALDERAS HAS FILED A LAWSUIT AGAINST PRESBYTERIAN HEALTH PLAN, NETWORK AND INSURANCE COMPANY FOR TAX FRAUD. THE A-G’S OFFICE SAYS THE LAWSUIT IS LIMITED TO PRESBYTERIAN’S ALLEGED FALSE CLAIMS FOR DEDUCTIONS RELATED TO THE MEDICAID PROGRAM.
THE A-G’S OFFICE SAYS THE UNDER-PAYMENTS OCCURRED BETWEEN 2001 AND 2015. THE ATTORNEY GENERAL IS TAKING OVER A LAWSUIT FIRST FILED BY WHISTLEBLOWERS IN THE OFFICE OF THE SUPERINTENDENT OF INSURANCE.
UNDER STATE LAW, INSURERS ARE REQUIRED TO PAY A PREMIUM TAX AND SURCHARGE.
