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Six arrested for cheating insurance company of Rs 58L

NEW DELHI: Police have arrested six people for allegedly duping the United India Insurance Company by making false medical claims with forged medical papers.

Published on: Jun 16, 2016, 11:19:13 IST
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NEW DELHI: Police have arrested six people for allegedly duping the United India Insurance Company by making false medical claims with forged medical papers.

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HT Image

The police said that the men — identified as kingpin Vishal Gupta (40) and his associates Ganesh Kumar (32), Dr Pankaj Bhardwaj(28 ), Deepak Sharma (38), Amit Kumar (22) and Nikunj Kumar (25)— had forged 66 medical claims and made the insurance company pay them Rs 58 lakh.

The matter came to light after one R Subramaniyum, director of Vipul Med Cap, TPA Pvt Ltd, filed a complaint alleging that someone had extracted Rs 56 lakh from their company on false medical claims. The company found that in the months of March and April, there was a sudden increase in medical claims.

When the company decided to investigate the authenticity of such claims, they found 33 of them to be false and an amount of Rs 28 lakh encashed fraudulently once and Rs 30 lakh the next time. The matter was reported to the police.

“During investigation, it was found that no one had applied for any medical claims. The claim bills provided from the hospitals concerned and the same were found to be forged. The details of accounts in which the claim amount was transferred were also verified. We found that major transactions had taken place from United Insurance Company in the accounts of Deepak Sharma and Amit Kumar,” DCP, south, Ishwar Singh said.

“The men were traced and nabbed. During questioning they spilled the beans on their associates,” he added.

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