The investigation into alleged fraud against the Provincial Health Insurance Administration (Apross) added a key chapter with the arrest of an administrative employee. The operation was carried out in Monte Cristo, where police also seized highly relevant evidentiary documentation. The procedure was led by the Directorate of Complex Crimes together with the judicial area and the fraud prevention unit.
The detainee, 44 years old, worked at a clinic in the interior and is now under the jurisdiction of the District 1, Turn 6 Prosecutor's Office. The office is headed by Prosecutor José Bringas, who is overseeing the progress of the case. Authorities are awaiting the accused's questioning in the coming hours to determine his degree of responsibility.
How the scheme operated
According to judicial information, the scheme consisted of billing for medical consultations that never took place. The operation was allegedly made possible by the participation of a mutual as the provider, which allowed the digital validation system to be bypassed. This mechanism resulted in illegitimate payments that affected the financial resources of the health insurance fund.
The investigation began after a report from the Apross Anti-Fraud Office, which detected irregularities in the traceability of services. The scheme allowed for the authorization of non-existent procedures, enabling improper payments to third parties. Authorities maintain that this practice sought to exploit technical shortcomings to defraud the public system.
