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Gurugram Hospital Insurance-Fraud Racket Busted as 3 Staff Arrested in Multi-Agency Raid

The case stems from a CM flying squad complaint, with investigators citing forged files that targeted payouts from dozens of insurers.

Overview

  • Police seized about 60 allegedly fake claim files tied to roughly 25 insurers and estimate the fraud at around Rs 1 crore.
  • Investigators say hospital staff worked with fake beneficiaries to fabricate IPD admissions, medical records, lab reports, pharmacy bills and treatment invoices.
  • A joint team including a civil hospital doctor, a cyber expert and a drug control officer searched the facility and recovered forged documents.
  • Officers also raided a diagnostic outlet in Dayanand Colony and recovered fake lab reports; the hospital and the clinic were sealed, police said.
  • The three arrested employees are Gaurav of Khairthal and Sapna and Varsha of Palam Vihar, with questioning ongoing after an FIR was filed at Bajghera police station on February 14.