The owners of a medical lab are seeking at least $78 million against an insurer’s senior leadership and their attorneys from a midsize law firm, who together allegedly falsified laboratory billing information, which was then ultimately used to allegedly secure a judgment for health care fraud.

Top leadership from Elevance Health and two partners from Robins Kaplan’s Minneapolis office were sued in the U.S. District Court for the Middle District of Florida under federal racketeering laws. In the lawsuit, the defendants are being accused of falsifying an Excel spreadsheet to create the appearance of laboratory billing spikes at a blood testing lab. The defendants allegedly used the falsified document to, among other things, obtain a nearly $26 million judgment that included punitive damages against the plaintiffs and their company, the complaint said.