Behavioral Health Counselor Pleads Guilty to Over $1M in Fraudulent Claims

Details of the Scheme and Guilty Plea

Federal prosecutors say 48-year-old Natasha Allmon, formerly a behavioral health counselor, submitted thousands of false and fraudulent claims to Blue Cross Blue Shield for counseling services that were never provided. Investigators say Allmon received more than $1 million in reimbursements.

Legal Consequences and Restitution for Guilty Plea

Allmon entered a guilty plea in federal court and faces:

• Up to 10 years in federal prison under the fraud statute

• Potential fines up to $250,000

• Orders for restitution and forfeiture of unlawful gains are likely at sentencing

  
  

How These Investigations Work

Health care fraud investigations typically involve audit trails, subpoenaed billing records, undercover interviews and cooperation with insurers. Blue Cross Blue Shield’s special investigations unit often refers cases to federal prosecutors when evidence shows systemic or large-scale fraud.

Patient and Provider Impact

Fraud that siphons insurer dollars can drive up premiums and erode trust in behavioral health services. Prosecutors encourage providers to implement strict billing controls and audit procedures.