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[CRIME] · Dominican Republic · 100 sources

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Senasa fraud investigation: Prosecutors seek prison for 25 suspects

The Dominican Republic's Special Prosecution Office for Administrative Corruption (Pepca) has launched Operation Cobra 2.0-A, targeting a massive fraud scheme within the state health insurer, Senasa. Prosecutors have requested 18 months of preventive prison for 25 defendants, including doctors, former Senasa employees, and other health sector professionals.

The investigation alleges that between January 2021 and February 2025, the network processed 4,363 fraudulent medical authorizations, resulting in losses exceeding RD$41 million. The modus operandi involved using real affiliate data to bill for medical services, consultations, and surgeries that were never actually performed. In some instances, the group even billed gynecological services to male patients and continued billing for deceased providers by illegally accessing their accounts.

Authorities have seized 12 vehicles, firearms, luxury items, and over RD$400,000 in cash during coordinated raids across several provinces. The prosecution has requested that the case be declared complex due to the plurality of facts and victims. Officials noted that the investigation is ongoing and may expand to include other entities or individuals.

Entities

Dominican Republic · Luis Abinader · Ministério Público · Mirna Ortiz · PEPCA · Santo Domingo · Senasa · Wilson Camacho · Ángel Luis Guzmán Vásquez

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