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GEICO Sues Nine NY Firms Over Alleged $3.3M No-Fault Fraud

GEICO filed a federal complaint alleging nine New York medical supply companies orchestrated a fraudulent billing scheme under the state's No-Fault insurance system.

Opal Keller

July 23, 20262 min read

Medical billing fraud - illustration, Jake Team LLC
Medical billing fraud - illustration, Jake Team LLC

GEICO has filed a federal lawsuit alleging that nine New York durable medical equipment companies operated as a single fraudulent entity to bill the insurer approximately $3.3 million for supplies that the insurer claims were medically unnecessary.

The complaint, lodged on July 21, 2026, in the US District Court for the Eastern District of New York, targets the nine firms and eight individuals described as their nominal owners.

The insurer contends the companies functioned as a coordinated operation controlled by an unidentified individual referred to in the filing as a "Secret Owner." GEICO alleges the group utilized a "quick hit" billing strategy, where companies became active in sequence as others wound down to mask the scope of the scheme. The alleged timeline of activity spans from May 2024 through February 2025.

According to the filing, the defendants submitted bills for items such as cervical collars, lumbar-sacral supports, and orthopedic pillows. GEICO asserts the equipment was either not provided or was of low quality, yet was billed using high-value Healthcare Common Procedure Coding System codes.

The complaint further alleges that prescriptions were obtained through kickbacks and that some signatures belonged to providers who did not actually authorize the orders.

The lawsuit identifies several common operational threads linking the defendants. Bills were routed through a single entity, Ace Medical Billing Corp., and payments were reportedly converted to cash at check-cashing facilities in New Jersey. GEICO also alleges that none of the companies held the required Dealer in Products for the Disabled License from New York City, rendering them ineligible to collect No-Fault benefits.

GEICO states it paid at least $1.75 million across the claims, with individual company payouts ranging from $121,000 to $250,000. The insurer is seeking to recover these funds along with treble damages under federal racketeering laws and punitive damages. GEICO also asks the court to declare that it owes nothing on more than $1 million in pending bills.

The complaint lists 30 causes of action, including federal racketeering charges, common-law fraud, unjust enrichment, and aiding-and-abetting claims. The eight individual defendants are alleged to have acted as fronts for the primary controller. GEICO notes that the owners intentionally refused to appear for depositions when questioned. These are allegations only, and no judge has ruled on the claims.

Geico employs about 2,000 people in Richardson, according to local government records.

Source: Insurance Business.

Sources

https://www.insurancebusinessmag.com/us/news/risk-compliance-legal/geico-alleges-nine-firms-ran-3-3m-quick-hit-nofault-scheme-583285.aspx

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Opal Keller

Opal Keller reports on local business, new openings, and economic development in Richardson.

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