MEC&F Expert Engineers : Corona Physical Medicine, Dr. Edward Albert G. Balbas, Jon Brunelle, and Alejandra Brunelle are accused of conspiring to 10-fold mark up insurance reimbursement claims for laboratory tests to increase their profits.

Sunday, September 18, 2016

Corona Physical Medicine, Dr. Edward Albert G. Balbas, Jon Brunelle, and Alejandra Brunelle are accused of conspiring to 10-fold mark up insurance reimbursement claims for laboratory tests to increase their profits.





By RICHARD BROOKS / STAFF WRITER
Published: Sept. 16, 2016 Updated: 4:20 p.m.

Owners of a Corona, Califormia medical firm face insurance fraud charges involving 165 bills totalling $380,000 over a three-year period, say state Department of Insurance officials.

The case focuses on Corona Physical Medicine and three defendants -- Dr. Edward Albert G. Balbas, chiropractor Jon Brunelle, and Alejandra Brunelle -- who surrendered Friday, Sept. 16, at Riverside County Superior Court and were each released on $382,000 bail, investigators said in a written statement.

They are accused of conspiring to mark up insurance reimbursement claims for laboratory tests to increase their profits.

"Evidence (shows) the suspects paid Cell Science Systems, an out-of-state lab, between $312 and $625 for the lab tests, but billed insurers $4,256 for the tests," according to the statement. "The suspects were able to hide their alleged crime by claiming they processed and analyzed the blood tests through an in-house lab, so the insurers were unaware that the actual cost...was substantially lower." The defendants are scheduled to return to court Oct. 24.