CHICAGO ― Former suburban chiropractor Andrew Carr, 45, and his wife Wendy Carr, 43, were sentenced to federal prison terms for engaging in a $1 million health insurance fraud scheme that continued for a year after they were indicted in 2011.
Andrew Carr, who worked as a chiropractor at various locations in the Chicago area, submitted health insurance claim forms for at least 376 patients to six different private health care insurers, knowing that more than $4.2 million worth of claims were for services that were not provided, and as a result, he fraudulently obtained payments totaling approximately $865,697.
Between January 2009, when Wendy Carr joined the scheme, and June 2011, she processed the insurance claims, knowing that nearly $1.6 million worth of claims were for services that were not provided, and, as a result, the couple fraudulently obtained payments during that time totaling approximately $328,964.
After the couple were indicted in June 2011, they submitted an additional 596 fraudulent claims totaling more than $475,000 for 51 additional patients over another year and, as a result, fraudulently obtained an additional $164,168.
Andrew Carr was ordered to pay restitution totaling $1,029,865, and Wendy Carr was ordered to pay $493,132 in restitution by U.S. District Judge Robert M. Dow, Jr., who imposed the sentences in Federal Court. The restitution was ordered to be paid to the victim insurance companies ― Aetna, Inc., Allied Insurance, Blue Cross Blue Shield of Illinois, CIGNA, Professional Benefit Administrators, Inc., and United Healthcare.
Andrew Carr was previously sentenced on Aug. 25, 2014, and has been in federal custody for approximately two years. Wendy Carr was sentenced on May 28, 2015, and was ordered to begin serving her 28-month sentence on June 25, 2015, to be followed by six months of home detention.
The sentences were announced by Zachary T. Fardon, United States Attorney for the Northern District of Illinois, and Robert J. Holley, Special Agent-in-Charge of the Chicago Office of the Federal Bureau of Investigation.
The charges against Andrew Carr and Wendy Carr include health care fraud, which is a felony offense punishable by up to 10 years in prison. They pleaded guilty to the charges earlier this year.
Related Federal Cases
- Nicole Bogan, Health Care Fraud, Georgia 2013 · Illinois
- Maurice L. Burks, Healthcare Fraud, Illinois 2023 · Illinois
- Orlando James Currey, Conspiracy to Commit Mail and Wire Fraud, Illinois 2015 · Illinois
- Bujar Sejdic, Financial Institution Fraud, Illinois 2023 · Illinois
- Nazaret Chakrian, ID Theft and Wire Fraud, California 2023 · Idaho
Key Facts
- State: Illinois
- Category: White Collar Crime|Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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