The two accused jointly ran a private multispeciality hospital and allegedly submitted fraudulent insurance claims for at least 14 patients, siphoning off Rs 22 lakh from insurance provider Tata AIG. The fraud surfaced after an internal audit by the insurance company detected that identical medical test results, including X-ray images, had been repeatedly submitted for different patients.
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An FIR was registered on Monday at Talegaon Dabhade Police Station by Dr. Sandeep Gaikwad, Senior Manager at Tata AIG. Following the complaint police arrested the accused. Speaking to the Indian Express, Senior Inspector Kanhaiyya Thorat, in-charge of the Talegaon Dabhade police station, said, “We have arrested the two accused doctors, who ran a hospital named Shree Multispeciality hospital in Talegaon Dabhade. They will be produced before a court on Wednesday, where we will seek their police custody.”
Senior Inspector Thorat added that an internal probe by the insurance provider revealed that identical test results, including X-ray images, had been submitted with the patients’ claims. Information has so far been obtained about 14 fake claims submitted by the suspect doctors since March this year. Forged documents were submitted to the company, and the insurance provider was defrauded of Rs 22 lakh.
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Officials said that they will investigate whether any more fake claims were submitted by the suspect doctors. The offence at Talegaon Dabhade police station under Pimpri Chinchwad police has been registered under Bharatiya Nyay Sanhita sections 316(2) Criminal breach of trust, 318(4) Cheating, dishonestly inducing alteration or destruction of a valuable security), 336 (Forgery), 337 (Forgery of court or public register record), 340(2) (Using forged document or electronic record as genuine), 344 (Falsification of accounts.), reports Indian Express.
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