Ghost admissions, fake records: Gurgaon hospital busted for insurance scam, 3 arrested

Gurgaon: Everything was a sham at this private hospital — ghost admissions, forged lab reports and fabricated treatment bills.On Wednesday, Galaxy One Hospital in New Palam Vihar, which generated fake insurance claims through them, ran out of luck, when three staffers were arrested in a crackdown. The hospital, located in Nihal Colony, would siphon off money from nearly 25 insurance companies.
The chief minister's flying squad and local police unearthed the racket, which involved hospital staffers and fake patients splitting insurance payouts. The operation revealed a systematic paper admission scheme. "The fraud was committed with both govt and private insurance companies — 60% of their insurance claims were cleared," ACP (West) Abhilaksh Joshi said. According to the investigations, the hospital admitted individuals to its in-patient department on paper only, without any actual medical treatment taking place."Authorities are currently scanning digital records and bank statements to identify other conspirators, including the fake patients and senior hospital management involved in the payout chain," a police officer said.Those arrested include Sapna and Varsha, both local residents, and Gaurav of Rajasthan for their alleged roles as accomplices. A case has been registered under sections 318(4) (cheating), 336(3) (forgery), 338 (forgery of valuable securities) and 340 (using a forged document or electronic record as genuine) of BNS at the Bajghera police station.The investigation into the facility began with a preliminary raid in May 2025, where authorities first noticed irregularities, including a doctor who falsely claimed to have an MD degree. Following a formal complaint filed by the CM flying squad at Bajghera police station on Feb 14, a specialised team was formed under DCP (West) Karan Goyal and led by ACP Joshi.The search operation, which included cyber experts and drug control officers, yielded 56 fake insurance files containing detailed records for patients who were never actually admitted. Police officials said "medical records and lab reports were manufactured" to obtain insurance money, which was then shared between the hospital officials and the beneficiaries, who lent their names to the files.ACP Joshi said that the fraud was estimated to be around Rs 1 crore. "In each case, we found a fraud of Rs 60-70,000. When we raided the hospital, we observed that the hospital didn't have many patients admitted there and the handwriting of the patient documents in all the files was almost the same. When we confronted the staffers, they disclosed the crime," Joshi said.Authorities also seized a cache of forged lab reports, pharmacy bills and treatment charts used to substantiate the claims. A secondary search at Labswell diagnostic centre in Dayanand Colony revealed that the facility provided the fake diagnostic reports used in the hospital's files. The ACP added that police were conducting a detailed investigation pertaining to the financial trail and checking the role of others involved in the organised crime.