Health Care Fraud Case Files

Fraud case files

Here are some examples of real-life health care fraud cases investigated by Blue Cross Blue Shield of Michigan.

Owner, Employees of Detroit Health Clinic Charged with Drug Offenses

Certified Nurse Practitioner Amy Wolfe was part of a medical practice that was selling Narcos prescriptions for cash to patients. Corporate and Financial Investigations collaborated with law enforcement, a search warrant was issued and arrests were made.

Read more on the Wolfe fraud case

West Bloomfield Doctor Sentenced for Illegal Distribution of Prescription Drugs

Convicted of illegal distribution, Scott H. Cooper, M.D., was sentenced to five years in federal prison after pleading guilty to the unlawful prescribing of prescription drug-controlled substances. 

Read more on the Cooper case

St. Clair Shores Physician Convicted of Prescription Drug Offenses

Bernard Shelton was convicted on 21 counts of illegal distribution and one count of delivery causing death. 

Read more on the Shelton case

Reporting Fraud

If you suspect fraudulent activity, you can report it to us confidentially. We maintain a policy that enforces non-retaliation and non-intimidation against those who report potential concerns.

File a report Learn more about reporting fraud