A large-scale fraud scheme has been exposed in Pavlodar, Kazakhstan, after prosecutors uncovered serious violations in how clinics used state medical insurance funds.

Medical organizations submitted fake reports showing consultations that never actually took place. In some cases, neurologists, cardiologists, and other specialists were even listed as having “treated” deceased patients, The Caspian Post reports via Kazakh media.

Shockingly, men were also recorded as receiving appointments with obstetricians and gynecologists-services that clearly could not have been provided in reality.

Investigators also found cases of double billing, where the same medical services were paid for twice. In addition, some clinics provided services without the required licenses and certifications.

The total damage to the state medical insurance fund exceeded 100 million tenge.

Police officers have already recovered more than 100 million tenge for the state budget. Those involved have been held accountable.

Two criminal cases are now before the court:

One involving the theft of 62 million tenge in public funds

Another concerning 41 million tenge in losses through illegal medical activity