Pune: Doctors Arrested for Rs 23 Lakh Insurance Fraud
Talegaon, 19th November 2025: Pimpri Chinchwad police have booked two doctors for allegedly defrauding a private insurance company of nearly Rs 23 lakh by raising medical claims using fabricated documents. The FIR was filed on Monday following a complaint by a senior manager of the insurance firm.
According to investigators, the case has been registered under sections 316 (criminal breach of trust), 318 (cheating), 336 (forgery), 337 (forgery related to court or public records), 340 (using forged documents as genuine), and 344 (falsification of accounts) of the Bharatiya Nyaya Sanhita (BNS).
A police officer said the accused operate a private hospital in Talegaon Dabhade. “The complainant informed us that from March to November this year, the two practitioners submitted insurance claims amounting to Rs 22.9 lakh on behalf of their patients. The company had already transferred the claimed amounts to the hospital’s account through online transactions,” the officer explained.
The alleged fraud surfaced during an internal review by the insurance company. “Their team noticed inconsistencies in several claim files. On verification, it was found that the documents provided for the patients were fabricated,” the officer added.
Following this discovery, the senior manager approached the police, leading to the registration of the case. “We are scrutinising the records and further inquiry is underway,” the officer said.
The arrest of these doctors is a significant step in curbing medical fraud, which has been a growing concern in the healthcare sector. Insurance companies often face such fraudulent claims, which not only result in financial losses but also undermine the trust of genuine patients and healthcare providers.
The Pimpri Chinchwad Municipal Corporation (PCMC) has been proactive in addressing such issues, working closely with law enforcement agencies to ensure that the healthcare system remains fair and transparent. The PCMC is one of the largest municipal corporations in India, known for its efficient administration and community services.
This case serves as a reminder for hospitals and medical practitioners to adhere to ethical practices and maintain the integrity of the healthcare system. It also highlights the importance of robust internal checks and balances within insurance companies to prevent such fraudulent activities.
