Wilmington Doctor Indicted For Insurance Fraud, Health Care Fraud
Date Posted: Wednesday, July 26th, 2017
Insurance Commissioner News
JULY 26, 2017
Dover, DE—Joint work by the Delaware Department of Insurance and Delaware Department of Justice led to the indictment this week of Dr. Karl McIntosh on 14 felony counts including theft, health care fraud, insurance fraud, and identity theft.
McIntosh, 53, of Wilmington, was indicted on Monday, July 24 by a New Castle County grand jury following a year-long joint investigation by the DOI Fraud Prevention Unit and the DOJ Investor Protection Unit. McIntosh was arrested on Tuesday, July 25. Bail was set at $50,000 secured, which was posted by McIntosh Tuesday. Dr. McIntosh was ordered to surrender his passport and not to leave the state as a condition of bail.
The indictment alleges that over a period spanning more than two years, McIntosh submitted insurance claims for office visits that did not take place, resulting in McIntosh improperly receiving over $100,000 of insurance reimbursements. To facilitate this fraud, the indictment further alleges that McIntosh used his patients’ personal identifying information without their consent.
This case was investigated by DOI Fraud Investigator Steve Kutch and DOJ Special Investigator Mark Hawk, and is being prosecuted by DOJ Deputy Attorney General William Green.
Commissioner Trinidad Navarro stated, “The fraud unit of the Department of Insurance takes these cases seriously and actively investigates all reported cases of fraud. We work closely with our partners at the Department of Justice to see these cases through, protecting consumers. A case such as this brings to light that insurance fraud costs everyone.”
The Delaware Department of Insurance protects Delawareans through regulation and education while providing oversight of the insurance industry to best serve the public. Delawareans are encouraged to report suspected incidents of insurance fraud by calling the DOI Fraud Prevention Unit at 1-800-632-5154.
The Delaware Department of Justice reminds the public that an indictment is merely an allegation and is not evidence of guilt. In all cases, defendants are presumed innocent until and unless proven guilty.