United States of America, Plaintiff-Appellee-Cross-Appellant v. Steven B. Tencer and Ronald Lazar, Defendants-Appellants-Cross-Appellees

Steven Tencer and Ronald Lazar challenge their convictions on multiple counts related to their scheme to submit fraudulent claims to insurance companies and obtain proceeds for unperformed chiropractic services. The government cross-appeals a number of the district court’s rulings. For reasons that follow, we affirm in part, reverse in part, and remand this case to the district court for sentencing.

I.

Appellants Tencer and Lazar, both licensed chiropractors, worked at the Allied Chiropractic Clinic (“Allied”) in Kenner, Louisiana. Tencer, who owned the clinic, turned over the bulk of his practice to Lazar, his employee, in 1989; thereafter, Tencer generally supervised the clinic’s financial affairs while Lazar treated patients on a day-to-day basis. From sometime in 1988 to early 1992, Allied submitted false insurance claims to three insurance companies, Blue Cross/Blue Shield of Louisiana (“Blue Cross”), Mail Handlers Benefit Plan (“Mail Handlers”), and National Association of Letter Carriers (“NALC”), and collected proceeds for patients who were not treated at all or who received only minimal treatment.

To execute the fraud, the appellants paid insurance premiums for some patients who, in return, signed multiple sign-in sheets indicating their presence in the office awaiting treatment. Those sheets were then used to generate false insurance claims. Appellants followed a similar pattern with patients recruited from local and federal government agencies; patients with good insurance benefits for chiropractic services were paid to sign their names and the names of family members on the clime’s sign-in sheets. They were also compensated for referring coworkers to Allied.

*-459 While Allied apparently provided some legitimate services, many patients testified that they and their family members received either no treatment or only cursory treatment consisting of brief massages or the application of heat pads. Yet, the claim forms Allied submitted for these same patients reported complicated diagnoses and elaborate treatment regimens. As a result of the scheme, Allied submitted hundreds of fraudulent claims and collected more than $450,000 in insurance proceeds related to these patients.

Before trial, Tencer moved unsuccessfully to sever his trial from Lazar. Following the jury trial, Tencer was convicted of one count of conspiracy to commit mail fraud and money laundering in violation of 18 U.S.C. § 371 (count 1); seventeen counts of mail fraud in violation of 18 U.S.C. § 1341 (counts 2-18); and eighteen counts of money laundering in violation of 18 U.S.C. § 1956 (counts 19-29, 31-37). The jury also returned a special forfeiture verdict of $1,598,645.18 and two vehicles allegedly involved in the money laundering. The district court acquitted Tencer on five money laundering counts (counts 26-29, 37) and reduced the jury’s forfeiture order to $700,000. Tencer was sentenced to 78 months’ imprisonment, fined $17,500, and ordered to pay restitution of $451,969.60 and to forfeit $700,000.

Lazar was convicted of conspiracy, mail fraud, and money laundering (counts 1-18, 37), but the court acquitted him on the money laundering count (count 37). He was sentenced to 33 months’ imprisonment and fined $30,000. Tencer and Lazar raise a number of issues on appeal, which we discuss below. We also consider below several issues the government raises in its cross-appeal.

II.

Both Tencer and Lazar argue that the evidence is insufficient to support their convictions for mail fraud, money laundering, and conspiracy. Faced with such a challenge, this court must determine “ “whether, after viewing the evidence and all inferences that may reasonably be drawn from it in the light most favorable to the prosecution, any reasonably minded jury could have found that the defendant was guilty beyond a reasonable doubt.’ ” United States v. Krenning, 93 F.3d 1257, 1262 (5th Cir.1996) (quoting United States v. Leahy, 82 F.3d 624, 633 (5th Cir.1996)).

A.

To establish a mail fraud violation under 18 U.S.C. § 1341, the government must demonstrate (1) a scheme to defraud; (2) the use of mails to execute that scheme; and (3) the defendant’s specific intent to commit fraud. United States v. Fagan, 821 F.2d 1002, 1008 (5th Cir.1987), cert. denied, 484 U.S. 1005, 108 S.Ct. 697, 98 L.Ed.2d 649 (1988). Counts 2-18 charged appellants with using the mails in furtherance of a scheme to defraud Blue Cross, Mail Handlers, and NALC. Counts 2-10 stem from nine separate mailings of checks from Blue Cross to Allied. Counts 11-18 involve checks mailed from Mail Handlers and NALC. The individual check that the government relies on for the “mailing” in each of the mail fraud counts is identified in the indictment and was introduced in evidence at trial.

1.

Appellants first argue that the evidence fails to establish the mailing requirement as it relates to the Blue Cross checks underlying counts 2-10. To convict a defendant under § 1341, the use of the mails must be ‘“incident to an essential part of the scheme.’” Schmuck v. United States, 489 U.S. 705, 711, 109 S.Ct. 1443, 1448, 103 L.Ed.2d 734 (1989) (quoting Pereira v. United States, 347 U.S. 1, 8, 74 S.Ct. 358, 362-63, 98 L.Ed. 435 (1954)). That is, completion of the alleged scheme must depend in some way on the information or documents that passed through the mail. United States v. Pazos, 24 F.3d 660, 665 (5th Cir.1994). Even a routine or innocent mailing may supply the mailing element as long as it contributes to the execution of the scheme. Schmuck, 489 U.S. at 714-15, 109 S.Ct. at 1499-50.

Ample evidence supports the existence of a scheme to defraud Blue Cross, Mail Handlers, and NALC, and appellants’ use of *-458 mails to execute that scheme. Several patients testified that they never received treatments for which their insurers were billed, and insurance representatives testified that payments for all claims were mailed to Allied. The evidence regarding Blue Cross in particular showed that Allied billed the insurer for 2,944 visits with patients about whom testimony was offered; Allied received approximately $362,000 from Blue Cross in payment for the visits. The Blue Cross-insured patients testified that they received little or no chiropractic care in return for the money Blue Cross paid Allied.

As to each of the counts at issue here (counts 2-10), the indictment alleges that Blue Cross mailed a specific cheek to pay fraudulent claims. The government, however, failed to produce any evidence tending to connect these individual checks with fraudulent claims. The record does not reveal the name of the patient, the date of the treatment, or other relevant information demonstrating what claims the individual checks paid. As the government acknowledged, Allied submitted some valid claims for legitimate treatment. Consequently, the government’s evidence is insufficient to establish that the checks relied on in counts 2-10 were in payment of fraudulent claims and therefore were used to execute the scheme to defraud.

The government argues that a review of claim forms, the checks, and patient testimony supports the inference necessary for convictions on these counts. According to the government, given the regularity with which patients signed in and claims were submitted and paid, the checks described in counts 2-10 must contain fraudulent payments. We disagree. The government submitted no evidence to indicate how quickly Blue Cross responded to claims or to illustrate the number dr amount of legitimate claims Allied submitted to Blue Cross. Therefore, any conclusion that the nine individual checks were in payment for fraudulent claims is speculative.

Alternatively, the government asserts that proof that each check contained fraudulent proceeds is not necessary to sustain mail fraud convictions. Simply put, the government argues that because the evidence of both a scheme to defraud and the use of mails is overwhelming, this court should overlook its failure to identify specific checks containing fraudulent proceeds.

The government relies on United States v. Reid, 533 F.2d 1255 (D.C.Cir.1976), in which the defendant, a credit director, submitted for payment inflated bills to a collection agency. The defendant argued that the evidence was insufficient to support his mail fraud convictions because it did not demonstrate that the invoices or checks on which the mail fraud counts were based were inflated billings or payments. Id. at 1263. The court disagreed, stating:

As a matter of practicality, in most schemes to defraud, it would be very difficult for the prosecution to show that any particular check or invoice was in itself false or inflated in amount, because in a course of dealing over a period of months the bills sent and the payments made are not necessarily tied in with ascertainable and accurate accounting data. In fact, it may be assumed that persons engaged in such a scheme to defraud would take some pains not to tie in the invoices and checks with other records which would be in the hands of the person or company being defrauded, in order to escape detection.

Id.

However, Reid’s reasoning is not applicable here. The D.C. Circuit in Reid emphasized that because of the nature of the fraudulent scheme, determining what invoices or checks were fraudulent would be nearly impossible. In contrast, the government here makes no contention that the nature of the fraud made it difficult for it to demonstrate what cheeks contained fraudulent proceeds; it argues instead that such a link is unnecessary to support a conviction. We disagree, and we decline to endorse a broad reading of § 1341’s mailing requirement that would re-leve the government of the burden of proving that mailings underlying mail fraud counts are related to the fraud being perpetrated. 1

*-457 In sum, we can identify no record evidence demonstrating that the checks underlying counts 2-10 contained fraudulent proceeds. Without such evidence, a rational trier of fact could not have found Tencer and Lazar guilty beyond a reasonable doubt of the offenses charged in those counts. Because the government’s evidence as to counts 2-10 was legally insufficient to establish guilt beyond a reasonable doubt, the convictions of Tencer and Lazar on those counts must be reversed.

2.

Counts 11-18 charge mail fraud based on checks mailed to Allied from Mail Handlers and NALC. 2 Tencer argues that because the Allied patients insured by NALC or Mail Handlers testified that they had no direct dealings with him, the evidence is insufficient to establish the specific intent to defraud required by 18 U.S.C. § 1341 as to these counts. Tencer misconstrues the intent requirement. The government need not demonstrate that Tencer was aware that these particular patients were scheme participants; rather, the intent element is satisfied as long as the government showed that Tencer willfully participated in a scheme to defraud “with the intent that the scheme’s illicit objectives be achieved.” United States v. Rochester, 898 F.2d 971, 977 (5th Cir.1990); see also United States v. Jimenez, 77 F.3d 95, 97 (5th Cir.1996). That is, the government must show Tencer participated in the scheme to defraud, not that he took part in every aspect of that scheme. Indeed, given Tencer’s admittedly supervisory role in the clinic, evidence of direct patient contact on his part would be unlikely.

The government presented overwhelming evidence of Tencer’s participation in a scheme to defraud insurance companies. Alfred employees testified that Tencer reviewed claim forms and, at times, tacked on charges to inflate billings, regardless of whether additional services had been provided. Patients testified that Tencer regularly paid for their insurance in return for their signature on sign-in sheets and that he instructed them to lie about their health to insurance representatives to enable them to obtain insurance more easily. This evidence is sufficient for a rational trier of fact to find that Tencer had the requisite intent to defraud.

Both Tencer and Lazar argue that the government failed to submit evidence of fraud as to three of the counts (counts 13, 15-16). Count 13 involved a payment from Mail Handlers for a claim by Darryl Smith, and counts 15 and 16 involved claims for Smith’s then three-year-old daughter, Madeline. Neither of these patients testified at trial. However, Jerry Kelley, a coworker of Darryl Smith, testified that Smith referred Kelley to Allied and that Smith told him he would be paid for his visits. Shortly thereafter, Smith and Kelley visited Allied together, and Smith gave Kelley money for the visit. In light of Kelley’s testimony that he was recruited into the scheme by Smith and later paid by Smith for his participation in insurance fraud, the jury could infer that Smith was intimately involved in the fraud himself and that the claims submitted on behalf of Smith were fraudulent.

Counts 15 and 16 were based on cheeks paying claims for treatment to Madeline Smith. During a five-month period, Allied billed Madeline’s insurer for 49 visits for a total of $6,735.50. Appellants offered no explanation for the excessive number of visits by a three-year-old child. In addition, Kelley and other patients testified that the appellants encouraged them to bring their children into the clinic and to sign their names, regardless of whether they needed or received treatment.

This circumstantial evidence, viewed in the light most favorable to the government, is *-456 sufficient to support appellants’ convictions on counts 13,15, and 16.

Finally, Lazar argues that the government failed to establish that mailings underlying five counts (counts 11-12, 14,17-18) were used to execute the fraud. Specifically, he contends that no evidence shows that the checks from NALC and Mail Handlers were for fraudulent claims. We disagree.

The checks at issue were in payment for claims by Rashad Sanders, Jerry Kelley, Kelley’s four-year-old son, Jerry Kelley Jr., Barbara Blanchard, and Blanchard’s son, Matthew Blanchard. The government presented testimony by Sander’s mother, Ernestine Gray, Kelley Sr., and Barbara Blanchard. Each testified that they were paid to visit the clinic, to refer coworkers and family members, and to pre-sign Allied’s sign-in sheets. For example, the elder Kelley testified that, beginning in March 1992, he visited the clinic two to three times a week and signed in his own name and the names of his wife and son. Although Kelley brought his son to the clinic only twice, Allied billed Mail Handlers for 44 visits for the younger Kelley over a three-month period.

Similarly, although Gray visited the clinic only four times in all, Allied submitted 38 claims for her and 35 claims for her son, Rashad. On two occasions, Lazar even brought sign-in sheets to Gray’s home for her to sign. Lastly, Barbara Blanchard testified that she and her two children visited Allied about five times during spring 1992. Allied billed NALC for 22 visits for Barbara Blanchard and for 24 visits for her son, Matthew.

Viewing the evidence in the light most favorable to the government, a reasonable jury could conclude beyond a reasonable doubt that the checks underlying counts 11, 12, 14, 17, and 18 were mailed as a result of Allied’s fraudulent billing and, therefore, that mails were used to execute the appellants’ fraud.

B.

Tencer next challenges the sufficiency of the evidence supporting his conviction for money laundering on six counts (counts 31-86), and the government, on its cross-appeal, challenges the district court’s acquittal of both Tencer and Lazar on one of the money laundering counts (count 37). To support a conviction under 18 U.S.C. § 1956, the money laundering statute, the government must prove that the defendant 1) conducted or attempted to conduct a financial transaction, 2) which the defendant knew involved the proceeds of a specified unlawful activity, 3) with the intent to conceal or disguise the nature, location, source, ownership, or control of the proceeds of unlawful activity. United States v. West, 22 F.3d 586, 590-91 (5th Cir.1994), cert. denied, — U.S. —, 115 S.Ct. 584, 130 L.Ed.2d 498 (1994); 18 U.S.C. § 1956(a)(l)(B)(i).

1.

Tencer contends first that the government failed to produce sufficient evidence to establish the concealment element of six of the money laundering counts (counts 31-36). Those counts stemmed from six transfers of funds by wire and check from various money market accounts throughout the country into one account in Tencer’s name at California Federal Bank in Las Vegas, Nevada. A brief description of the facts is necessary to understand Teneer’s argument.

Between May 1989 and April 1992, Tencer opened bank accounts in various banks across the country and deposited checks drawn on his personal account at Fidelity Homestead and on the Allied Clinic account at Whitney National Bank. On July 9,1992, a little more than a week after federal agents had executed a search warrant at Allied Clinic, Tencer faxed instructions to several of the regional banks where he had accounts. He directed those banks to transmit his funds on deposit by mailing cashiers checks by Federal Express to an Algiers, Louisiana, address at which Tencer neither worked nor resided. On July 13, 1992, Tencer opened an account at California Federal Bank in Las Vegas, Nevada, using some of the cashiers cheeks; his initial deposit totaled $662,637.06. He told employees at the Las Vegas bank that he was moving into the area and needed cash to buy a business. He also directed banks that had not yet mailed cashiers checks to *-455 the Algiers address to wire funds totaling $312,297.89 to the account at California Federal Bank. The next day, Teneer deposited an $89,832.10 cashiers check into the account and withdrew $9,900. 3 Later that day, Tencer arranged to have the entire balance in the account — roughly $1,055,000 — delivered to him in cash at a local airport. Before the funds could be picked up by a security company and delivered to Teneer, a seizure warrant was executed on the California Federal account.

Teneer argues that the government has presented no evidence that he sought to conceal the nature, source, ownership, or control of the funds. He contends that when he opened the regional accounts initially and later transferred those balances to the California Federal account, he used his own name and handled his own transactions. No third parties were used, and a paper trail clearly connected Tender to both the regional and California Federal accounts.

The government counters that the use of a false identity is not essential to a money laundering conviction. It contends that Teneer’s request that funds be sent to an address at which he neither worked nor resided, his use of a Las Vegas bank hundreds of miles away from his home and business to consolidate funds, and his false statements to bank employees about his plans to move to the area demonstrated his intent to conceal.

We reject as overly narrow Tencer’s view that § 1956’s concealment element is satisfied only by an attempt to disguise the defendant’s identity. Several circuits, including this one, have recognized that the government need not “prove with regard to any single transaction that the defendant removed all trace of his involvement with the money or that the particular transaction charged is itself highly unusual.” United States v. Willey, 57 F.3d 1374, 1386 (5th Cir.), cert. denied, — U.S.—, 116 S.Ct. 675, 133 L.Ed.2d 524 (1995); see, e.g., United States v. Kinzler, 55 F.3d 70, 73 (2d Cir.1995) (“§ 1956(a)(l)(B)(i) does not require an attempt to conceal the identity of the defendant; a scheme that conceals only the source of the funds falls within the purview of the statute.”); United States v. Manarite, 44 F.3d 1407, 1416 (9th Cir.) (holding that defendants, by cashing gambling chips in small quantities and at different times and places, showed intent to conceal even though they made no intent to disguise their identities), cert. denied, — U.S.—, 115 S.Ct. 2610, 132 L.Ed.2d 854 (1995); United States v. Campbell, 977 F.2d 854, 857-58 (4th Cir. 1992) (upholding conviction where evidence of concealment consisted of real estate agent’s suspicion that client’s funds were derived from illegal activity coupled with under-the-table cash transfer of $60,000 cash down payment on home), cert. denied, 507 U.S. 938, 113 S.Ct. 1331, 122 L.Ed.2d 716 (1993); United States v. Lovett, 964 F.2d 1029, 1034 n. 3 (10th Cir.) (“To find that the money laundering statute is aimed solely at those transactions designed to conceal the identity of the participants to the transaction is to ignore the broad language of the statute.”), ce rt. denied, 506 U.S. 857, 113 S.Ct. 169, 121 L.Ed.2d 117 (1992). Thus, the fact that Teneer did not seek to conceal his identity while depositing funds in the California Federal account does not require us to reverse his conviction on these counts.

Teneer argues that this court’s decision in United States v. Dobbs, 63 F.3d 391 (5th Cir.1995), supports reversal. In Dobbs, the defendant deposited proceeds of bank fraud into his wife’s bank account, converted other proceeds into cashiers cheeks, and then used the account and cheeks for family and business expenses. This court found insufficient evidence to sustain the defendant’s money laundering convictions because the transactions were “open and notorious” and no third parties were used to make purchases or hide his activity. Id. at 397; see also Willey, 57 F.3d at 1388 (reversing conviction where only evidence of concealment was transfer of money from one account to another).

In Dobbs, unlike today’s case, the government produced no evidence that the transactions were conducted to disguise the rela *-454 tionship between the defendant and the fraudulent proceeds. Dobbs, 63 F.3d at 398. Whereas Dobbs openly used fraudulently obtained funds to pay for business and family expenses, Tencer endeavored to consolidate illicit funds in a city that was hundreds of miles from his home and where large cash transactions are commonplace. He asked regional banks to wire funds to an address to which he had no connection. His false statements to bank officials showed an intent to minimize attention to the transactions. Based on the evidence in the record, a jury could infer that Tencer was attempting to conceal the nature of the funds and facilitate laundering of the proceeds of his fraudulent activities.

Tencer argues next that if his conviction on mail fraud counts 2-10 are reversed, the money laundering convictions must be reversed as well because the government failed to prove “specified unlawful activity.” A review of the money laundering statute and relevant ease law persuades us that Tencer’s conviction under § 1956 will stand; the government has demonstrated that the funds involved are proceeds of a “specified unlawful activity” as statutorily defined.

Section 1956 requires that the financial transaction “in fact involve[d] the proceeds of specified unlawful activity.” 18 U.S.C. § 1956(a)(1) (emphasis added). “Specified unlawful activity,” by statute, includes any racketeering offense listed in 18 U.S.C. § 1961(1). 18 U.S.C. § 1956(c)(7)(A). In turn, mail fraud, as set forth in § 1341, is one of the offenses listed in § 1961(1).

Tencer argues that the government did not establish that any Blue Cross mailings occurred in furtherance of the scheme to defraud. We disagree. In reversing the appellants’ convictions on counts 2-10, we concluded that the government established at trial both the existence of a scheme to defraud Blue Cross and appellants’ use of mails to execute that scheme. Patients insured by Blue Cross testified that they never received treatments for which Blue Cross was billed, and a Blue Cross representative testified that payments for all claims were mailed to Allied. More particularly, the government produced evidence that Allied submitted roughly $362,000 in claims to Blue Cross that were .related to patients about whom testimony was given. Those patients testified that they received no treatment in connection with a majority of the claims submitted on their behalf. Blue Cross then transmitted checks in payment of those claims through the mail to Allied. We are unable to affirm the mail fraud convictions as to counts 2-10 because the evidence is insufficient to show that the specific Blue Cross cheeks alleged in the indictment — the mailings on which those counts are based — were in payment of fraudulent claims and therefore used to execute the insurance fraud. However, our reversal as to those counts does not disturb our conclusion that the evidence demonstrated that Allied received more than $300,000 through the mail from Blue Cross in payment of fraudulent claims. This adequately established mail fraud for purposes of the money laundering counts.

Tencer contends that this court and others have reversed money laundering convictions where convictions as to the predicate unlawful activity have been reversed. See United States v. O’Hagan, 92 F.3d 612, 628 (8th Cir.1996), cert. granted on other grounds, — U.S. —, 117 S.Ct. 759, 136 L.Ed.2d 695 (1997); United States v. Brumley, 79 F.3d 1430, 1442 (5th Cir.), reh’g en banc granted, 91 F.3d 676 (5th Cir.1996). In O’Hagan, the court first vacated securities fraud, counts and then vacated mail fraud counts premised in the indictment on acts that allegedly constituted securities fraud. O’Hagan, 92 F.3d at 627. Because the court vacated all of the securities fraud and mail fraud counts, it found no unlawful activity on which to base money laundering convictions. Id. at 628. Similarly, in Brumley, this court vacated a defendant’s money laundering convictions where the counts in the indictment identified the “specified unlawful activity” by cross-referencing wire fraud counts that had been vacated. Brumley, 79 F.3d at 1442.

In Teneer’s case, the relevant money laundering counts in the indictment (counts 31-36) identified the funds at issue as “proceeds of specified unlawful activity, that is, the knowing and intentional commission of mail *-453 fraud” under 18 U.S.C. § 1341. These counts then incorporated by reference paragraphs in the indictment describing the nature of the scheme to defraud. However, neither the paragraphs incorporated by reference nor the language in counts 31-36 define the predicate unlawful activity as the mail fraud charged in counts 2-18. Because the money laundering counts do not define “specified unlawful activity 5 ’ in terms of the mail fraud activities described in counts 2-18, this court is not limited to considering only those activities. Cf. United States v. Smith, 44 F.3d 1259, 1264-65 (4th Cir.) (holding that indictment describing funds involved in transaction generally as wire fraud proceeds was sufficient to define specified unlawful activity at issue), cert. denied, — U.S.—, 115 S.Ct. 1970, 131 L.Ed.2d 859 (1995).

Thus, Teneer’s convictions on counts 31-36 will stand as long as the jury, viewing the evidence in the light most favorable to the government, could infer that the six deposits by wire and cash into the California Federal account “involved” mail fraud proceeds for purposes of .§ 1956(a)(1). To do so, the government need not prove that all of the money involved in the transfers were proceeds of mail fraud; it is sufficient if the government proves at least part of the money represented such proceeds. See, e.g., United States v. English, 92 F.3d 909, 916 (9th Cir.1996); United States v. Cancelliere, 69 F.3d 1116, 1120 (11th Cir.1995); United States v. Jackson, 935 F.2d 832, 840 (7th Cir.1991); cf. United States v. Moore, 27 F.3d 969, 976 (4th Cir.), cert. denied , — U.S. —, 115 S.Ct. 459, 130 L.Ed.2d 367 (1994).

As noted above, the government presented evidence that from May 1989 to April 1992, Tencer opened accounts in various banks across the country and deposited cheeks drawn on his personal account at Fidelity and on Allied’s account at Whitney National Bank. Marcus Veazey, an FBI agent, testified that the majority of deposits into the Whitney account were from insurance companies and that the specific checks in evidence were deposited into that account as well. From July 1989 through July 1992, $2,681,205.60 in insurance proceeds were deposited into the account. Agent Veazey testified that nearly $452,000 was related to patients who, according to patient testimony, participated in the insurance fraud; of that amount, roughly $362,000 came from Blue Cross checks.

Veazey then testified as to the movement of funds from the Whitney account. Checks written on that account went to Allied’s operating account at Fidelity Homestead, Tencer’s personal account at Fidelity, and to several regional accounts. From July 1989 to summer 1992, $756,066.20 from the Whitney account was deposited into Tencer’s personal account at Fidelity. Veazey testified that during this time period, Tencer deposited checks drawn on his personal account into regional accounts as well. According to a chart introduced by the FBI agent, Tencer deposited nearly $1.4 million in regional accounts during the three-year period. On July 13, 1992, he opened an account at California Federal and deposited $662,637.06 in checks drawn on five of those accounts. He also directed four banks to wire funds totaling $312,297.89 to the account. On July 14, Tencer deposited $89,832.10 in a check drawn on one regional account. By establishing that fraudulent proceeds were initially deposited into the Whitney account and that Tencer later transferred funds from that account into regional accounts and, then, into the California Federal account, the government has adequately established that the six transfers at issue “involved” unlawful proceeds.

In sum, while the government has not demonstrated what specific Blue Cross checks included fraudulent proceeds, it did establish that Blue Cross paid Allied approximately $362,000 that was directly related to patients who testified that Allied submitted claims to Blue Cross on their behalf even though they received little or no treatment. The government then established that the checks making up the $362,000 were deposited in the Whitney account. Funds from the Whitney account were later deposited in Tencer’s personal account, his regional accounts, and, finally, in the California Federal account.

Given this evidence and the volume and scope of the insurance fraud, the jury was *-452 entitled to infer that most of the $362,000 was in payment for fraudulent claims. Furthermore, the jury could infer that the six transactions underlying counts 31-36 involved proceeds from this unlawful activity— specifically, mail fraud.

2.

The government cross-appeals the district court’s acquittal of both Teneer and Lazar on one of the money laundering counts (count 37). That count charged a violation of 18 U.S.C. § 1956 in connection with Lazar’s August 10, 1992 deposit of approximately $60,-000 in insurance checks into an Allied Clinic account with Dean Witter Reynolds. Lazar made the deposit at Dean Witter’s New Orleans office on the same day Teneer opened the account in a Dean Witter office in southern California. Lazar directed the New Orleans branch to credit his deposit to the Allied account Teneer opened with Dean Witter in California. Some of the more than $60,000 in insurance cheeks Lazar deposited were in payment for claims for patients who had not received the reported treatment.

As discussed above, to support a money laundering conviction, the government must show that the defendant acted with an intent to conceal. In support of the concealment element, the government has shown only that a deposit was made with a national brokerage firm in New Orleans to be credited to an existing account with the same firm in California. We agree with the district court that although a geographically distant financial transaction is a factor that can be considered in support of the concealment element, it does not alone establish intent to conceal.

We recognize that the timing of this transaction is suspicious: the deposit was made shortly after the government seized Tencer’s funds in the Las Vegas account. But the government provided no evidence that the transfer of the funds from New Orleans to the existing California Dean Witter account made the account harder to find or that a depositor would believe such a transfer would tend to conceal the funds. The district court correctly acquitted both Teneer and Lazar on this count.

C.

Finally, Teneer contends that the evidence is insufficient to support his conviction for conspiracy. To establish conspiracy under 18 U.S.C. § 371, the government must establish “(1) an agreement between two or more persons, (2) to commit a crime against the United States, and (3) an overt act in furtherance of the agreement committed by one of the conspirators.” Krenning, 93 F.3d at 1262. Conspiracy may be proved through circumstantial evidence, and the agreement need not be formal or spoken. Id. at 1264. Here, abundant evidence presented at trial in support of the mail fraud and money laundering counts set forth above demonstrated the active participation of both appellants in the scheme to defraud and their cooperative efforts in ensuring its success. This circumstantial evidence of agreement, together with evidence of the appellants’ active participation in the scheme, is sufficient to support appellants’ convictions for conspiracy.

III.

Teneer argues next that the district court’s denial of his severance motion prevented him from introducing exculpatory testimony by Lazar, who would testify only in a separate trial. To support his motion, Teneer submitted Lazar’s affidavits, which stated that, to his knowledge, Teneer did not commit any of the acts 'underlying the charged offenses.

This court has recognized that, as a general rule, persons indicted together should be tried together, especially in a conspiracy case, United States v. Neal, 27 F.3d 1035, 1045 (5th Cir.), cert. denied, — U.S. —, 115 S.Ct. 530, 130 L.Ed.2d 433 (1994), and that “ ‘a district court should grant a severance only if there is a serious risk that a joint trial would compromise a specific trial right of one of the defendants, or prevent the jury from making a reliable judgment about guilt.’ ” Id. (quoting Zafiro v. United States, 506 U.S. 534, 537, 113 S.Ct. 933, 936-37, 122 L.Ed.2d 317 (1993)). To obtain a severance based on a codefendant’s exculpatory testimony, a defendant must initially demonstr