Major Insurance Fraud Uncovered at Gurgaon Private Hospital
In a shocking revelation, Galaxy One Hospital in New Palam Vihar, Gurgaon, has been exposed for orchestrating a massive insurance fraud scheme involving ghost admissions, fabricated medical records, and forged lab reports. On Wednesday, authorities arrested three staffers in a coordinated crackdown, bringing to light a racket that siphoned money from nearly 25 insurance companies.
Systematic Paper Admission Scheme Revealed
The chief minister's flying squad and local police unearthed a systematic paper admission operation where individuals were admitted to the in-patient department on paper only, without any actual medical treatment taking place. According to ACP (West) Abhilaksh Joshi, "The fraud was committed with both government and private insurance companies — 60% of their insurance claims were cleared." The hospital, located in Nihal Colony, generated fake insurance claims by manufacturing medical records and lab reports to obtain payouts, which were then shared between hospital officials and beneficiaries who lent their names to the files.
Arrests and Investigation Details
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 began with a preliminary raid in May 2025, where authorities first noticed irregularities, including a doctor falsely claiming an MD degree. Following a formal complaint filed by the CM flying squad on February 14, a specialised team was formed under DCP (West) Karan Goyal and led by ACP Joshi.
Evidence and Financial Impact
During the search operation, which included cyber experts and drug control officers, authorities seized 56 fake insurance files containing detailed records for patients who were never actually admitted. Police officials confirmed that "medical records and lab reports were manufactured" to obtain insurance money. ACP Joshi estimated the fraud to be around Rs 1 crore, with each case involving Rs 60,000 to 70,000. He noted, "When we raided the hospital, we observed that it didn't have many patients admitted, and the handwriting in all patient documents was almost the same. Confronting the staffers led to their disclosure of the crime."
Additional Forgeries and Ongoing Probe
Authorities also confiscated 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 fake diagnostic reports for the hospital's files. The ACP added that police are conducting a detailed investigation into the financial trail and checking the roles of others involved in this organised crime. Authorities are currently scanning digital records and bank statements to identify other conspirators, including fake patients and senior hospital management in the payout chain.
