Key Points:
Gurugram’s Galaxy One Hospital caught running fake “ghost admission” insurance racket
Three staff arrested: Sapna, Varsha and Gaurav
About 60 fake claim files linked to 25 insurance companies recovered
Fraud worth nearly ₹1 crore using forged lab reports and bills
Police probing wider network and financial trail
A private hospital in Gurugram has been busted for allegedly running a systematic medical insurance fraud racket using fake admissions and fabricated medical documents. Three employees have been arrested after a joint raid by police and the Chief Minister’s flying squad revealed fraudulent claims worth about ₹1 crore.
The crackdown took place at Galaxy One Hospital, located in Nihal Colony, New Palam Vihar, after a complaint was filed by the Mukhyamantri Udan Daste on February 14, 2026 at Bajghera police station.
Police said a specialized team led by DCP (West) Karan Goyal and ACP (West) Abhilaksh Joshi conducted a raid along with a civil hospital doctor, cyber expert and drug control officer.
Investigators discovered a “paper admission” system where individuals were shown as admitted patients without receiving any treatment.
Nearly 60 fake insurance claim files linked to about 25 insurance companies were recovered during the operation.
According to police, hospital staff allegedly prepared
fake IPD admission records
forged laboratory reports
fabricated treatment charts
bogus pharmacy bills
The fraudulent claims were submitted in collusion with beneficiaries whose names were used in records, and the payouts were shared between them and hospital staff.
Authorities said around 60 percent of submitted claims were cleared by insurers, with each case involving roughly ₹60,000 to ₹70,000.
The total fraud detected so far is estimated at about ₹1 crore.
Police arrested three hospital employees
Sapna, Gurugram resident
Varsha, Gurugram resident
Gaurav, resident of Khairthal, Rajasthan
A case has been registered under multiple sections of the Bharatiya Nyaya Sanhita related to cheating and forgery.
A secondary search at Labswell diagnostic center in Dayanand Colony uncovered additional forged reports allegedly used to support the insurance claims.
Police are now examining digital records and bank transactions to trace other conspirators, including fake patients and possible senior management involvement.
The case first surfaced during a preliminary inspection in May 2025 when authorities found irregularities at the hospital, including a doctor allegedly using MBBS and MD qualifications without holding the degree.
Officials said entries were made in the IPD register specifically to generate insurance claims.
Police are continuing the probe to identify the full financial trail and additional participants in the organized fraud network.
(Rh/ARC)