OIG - Office of Inspector General

06/03/2026 | Press release | Distributed by Public on 06/04/2026 05:36

Matrix, HealthFair, and HealthFair Founder Agree to Pay $56.5M to Resolve False Claims Act Allegations

Matrix, HealthFair, and HealthFair Founder Agree to Pay $56.5M to Resolve False Claims Act Allegations

Community Care Health Network LLC, doing business as Matrix Medical Network (Matrix), DPN USA, doing business as HealthFair (HealthFair), and Shahriah "James" Ekbatani have agreed to pay a total of $56.5 million to resolve allegations that they violated the False Claims Act (FCA) by causing the submission of false or invalid diagnosis codes to the Medicare Advantage program. Matrix will pay $36.5 million to resolve claims in a qui tam action filed in the Southern District of New York. HealthFair, which was acquired by Matrix, will pay $5 million and Ekbatani will pay $15 million to resolve claims in a qui tam action filed in the Eastern District of Texas.

More About This Action

Action Details

  • Date:June 3, 2026
  • Agency:U.S. Department of Justice
  • Enforcement Types:
    • Criminal and Civil Actions
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