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FDLE: Former insurance company employee in Tallahassee accused in illegal medical rebate scheme

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Posted at 3:18 PM, Dec 04, 2020
and last updated 2020-12-04 15:23:25-05

TALLAHASSEE, Fla. (WTXL) — A former Capital Health Plan employee was arrested by the FDLE Friday after investigators found that she was filing illegal invoices for rebates for hundreds of people worth more than $60,000.

FDLE announced the arrest of Zylphia Meredith, 38, on Friday.

They said an investigation showed that Meredith, a former employee of Capital Health Plan, created fake invoices for contact lenses for more than 300 people and submitted them for rebates worth more than $60,000. Before she could get all $60,000 though, the company eventually ceased payments, suspecting fraud.

Prior to that, FDLE said Meredith received half of the applied-for rebates in the form of pre-paid Visa cards valued at $31,200.

According to a probable cause document, Meredith worked for CHP from Oct. 2013 to Nov. 2019 and had access to member information and files.

Through additional investigation, agents discovered that Meredith illegally used member information to fill out the vast majority of the fraudulent invoices. Of those, 38 fake invoices were created and printed using the insurance company’s own internal system.

Based on the evidence, Meredith was arrested on one count of grand theft in excess of $20,000 but less than $100,000 and one count of criminal use of personal identification information of more than 30 persons.

Meredith was booked into the Leon County Jail on $20,000 bond. She has since bonded out.