Valley News -

By Alex Groves
Associate Editor 

Owner of Temecula detox treatment center accused of scamming insurance provider

 

Last updated 5/30/2018 at 10:30pm



A 55-year-old Temecula man is accused of defrauding an insurance company of more than $250,000.

David Leo Johnson, owner of Temecula-based Southern California Detox Treatment and Recovery (SCDTR), is charged with 30 counts of insurance fraud and an aggravated white collar crime enhancement. He pleaded not guilty to all counts on Tuesday.

According to a news release from the Riverside County District Attorney's Office, Johnson is accused of billing dozens of Health Net policies for patients that the patients themselves didn't set up. The alleged fraud occurred from February 2015 to May 2016.

The news release said that some of the claims used SCDTR's address as the address for the patients. Johnson is alleged to have paid the initial premium payments for 62 percent of the policies.

"Interviews with clients showed that they did not submit the applications for their health insurance policies and were not aware of how the coverage was obtained," the news release says. "When interviewed, the clients also advised that Johnson did not charge them any of the required patient costs, including deductibles and co-payments.

Health Net requires patients to pay for 50 percent of their deductible before it kicks in funds for an out of network provider. Prosecutors allege Johnson received payment from the insurance company by claiming the patients had paid for their deductible when they really hadn't.

Johnson is currently being held at the Cois M. Byrd Detention Center in French Valley. His next court appearance is scheduled for June 4.

Alex Groves can be reached at [email protected]

 

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