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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
Claims
What the coverage asserts, and how many sources carry each claim.
- [● 25 SOURCES] The Ministerio Público requested 18 months of preventive prison for 25 individuals linked to the Senasa fraud investigation. atento.com.do · ciudadoriental.com · diario55.com · www.juanalvennys.com · elatlantico.do · +10 more
- [DISPUTED] The investigation has quantified a loss of over RD$40 million. atento.com.do · ciudadoriental.com · diario55.com · www.juanalvennys.com · elatlantico.do · +10 more
- [● 8 SOURCES] The fraudulent activities occurred between January 28, 2021, and February 20, 2025. www.diarioazua.com · dr1.com · infoenn.com · dominicanaaldia.com · infosaludrd.com
- [● 24 SOURCES] The prosecution requested that the legal process be declared complex. atento.com.do · ciudadoriental.com · diario55.com · www.juanalvennys.com · elatlantico.do · +7 more
- [● 4 SOURCES] The group used false justifications like ‘pago a san de madre’ for bank transfers to hide illicit funds. azuanoticias.com · www.campesinodigital.net
- [● 10 SOURCES] The scheme involved 4,363 fraudulent authorizations for medical services that were not performed. www.diarioazua.com · dr1.com · infoenn.com · arcodelsur.com · dominicanaaldia.com · +1 more
- [● 8 SOURCES] The investigation includes 25 defendants, including doctors and former Senasa employees. atento.com.do · diario55.com · diariofinanciero.do · informandobani.com · inmobiliario.do
- [● 2 SOURCES] Authorities seized 12 vehicles, firearms, and luxury items during raids. impactobarahonero.com.do · dr1.com