The police crackdown on a fake health insurance claim racket has intensified with the arrest of three more accused, including the owner of Vidyawati Hospital, as investigators uncovered a wider network involved in clearing fraudulent insurance payouts without admitting patients. The arrests come as part of the ongoing probe into the Discent Hospital insurance fraud case, which has already revealed large-scale manipulation of medical records and collusion between hospitals, agents and intermediaries.
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Police said the latest arrests indicate that the scam was not limited to a single hospital but operated as an organised network targeting insurance companies through fabricated treatment documents and false hospitalisation records.
The arrested accused have been identified as Indresh Yadav, owner of Vidyawati Hospital and a resident of Pachohan in Uruwa Bazaar, Aman Yadav alias Gaurav Yadav of Mahanapur Sonwa Tola under Shahpur police station, and Abhishek Sharma alias Honey Sharma of Saraswatipuram Lane No. 3 in Shahpur. All three were produced before a court on Sunday and remanded to judicial custody.
According to investigators, the case traces back to a complaint lodged in September 2025 by a private insurance company at Ramgarh Tal police station. The complaint alleged that a health insurance claim of around ₹1.80 lakh was fraudulently cleared in the name of a Delhi resident, Satyadeep. Subsequent verification revealed that the insured individual had never been admitted to the hospital shown in the claim documents.
During the initial investigation, police arrested the operators of Discent Hospital, including its owner Shamshul, partner Praveen alias Vikas Tripathi, along with a doctor, a hospital manager and other associates. The probe revealed that at least 15 fake patients had been shown as admitted at Discent hospitals in Gorakhpur and Basti, resulting in fraudulent insurance claims worth approximately ₹1.20 crore.
While examining documents, call records and financial transactions linked to the Discent Hospital case, investigators found evidence pointing to Vidyawati Hospital’s involvement. Further scrutiny of hospital records and insurance claim files revealed striking similarities in documentation patterns, forged signatures and fabricated admission details, suggesting coordination between the two hospitals.
Police said the accused prepared complete treatment files without admitting any patient. These files included fabricated admission registers, treatment charts, discharge summaries and forged signatures of doctors. Based on these documents, insurance companies were made to clear treatment claims, after which the proceeds were allegedly shared among the conspirators.
Investigators found that Indresh Yadav had been actively coordinating with insurance agents and hospital operators to generate fake claims over an extended period. Police suspect that several other hospitals, insurance agents and technical facilitators may also be part of the network. Bank accounts, digital payment trails and call data records linked to the accused are currently under detailed examination.
The SP City said the evidence collected so far suggests a structured and well-planned operation designed to exploit gaps in insurance verification systems. He added that more arrests are likely as the investigation progresses and financial trails are fully analysed.
Officials stressed that fake health insurance claims are not merely financial crimes but also undermine public trust in the healthcare and insurance ecosystem. Such frauds inflate insurance costs, delay genuine claims and ultimately harm patients who rely on medical insurance for critical treatment.
Police have assured that strict action will be taken against anyone found complicit at any level, including hospitals, agents or intermediaries. A wider audit of insurance claims processed through hospitals under scrutiny is also being considered to identify additional cases of fraud.
At present, investigators are focusing on mapping the full extent of the network, identifying other hospitals involved and determining the total financial loss caused to insurance companies. Officials said the probe could lead to further major disclosures in the coming days.
About the author – Ayesha Aayat is a law student and contributor covering cybercrime, online frauds, and digital safety concerns. Her writing aims to raise awareness about evolving cyber threats and legal responses.
