NEW BRUNSWICK — A doctor, whose medical practice is in East Brunswick, was charged last week with allegedly submitting claims for payment to Horizon Blue Cross Blue Shield that provided inaccurate diagnosis for the patient visits. This procedure resulted in over payment by Horizon to the doctor over a five-year period, according to Middlesex County Prosecutor Andrew C. Carey.
Wagih Tadros, 64, of Edison was charged with five counts of health care claims fraud in the second degree and one count of insurance fraud in the second degree on Sept. 6.
Tadros was released on a summons and his initial court appearance is scheduled for Oct. 5.
The doctor was charged following an extensive investigation by Detective Jonathan Berman of the Middlesex County Prosecutor’s Office.
During the investigation, it was determined that between Feb. 6, 2010 and May 21, 2015, Tadros submitted claims for payment to Horizon Blue Cross Blue Shield that provided inaccurate diagnosis for the patient visits. These claims resulted in an overpayment by Horizon to the doctor.
The investigation is active and continuing. Anyone with information is asked to call Detective Jonathan Berman of the Middlesex County Prosecutor’s Office at 732-745-4328.