3 docs accused of using fake bills to claim Rs 55 L from med insurance co

Aug 20, 2012, 07:36 IST | A correspondent

Three doctors allegedly claimed and collected more than Rs 55 lakh from the Mumbai-based Medi Assist India insurance company using fake medical bills.

The company lodged a complaint against Dr Dhanjay Javhir, a resident of Vishrantwadi, Dr Mandar Kapare from Warje and Dr Vaibhav Shaha, a resident of Chinchwad, when it discovered irregularities after an audit. 

According to the police, the doctors prepared fake bills in the names of 65 people who were covered under a medi-claim policy of the All India Assurance Company.

The police said the doctors made fake letterheads of Yash Hospital, Sonone Surgical and Ophthalmic Hospital, and Supertec Hospital. They said the letterheads and fake bills were used by the doctors to falsely show these 65 people were admitted in the hospitals and underwent various treatments and tests.

The police said the claim was accepted by Medi Assist India after the bills were provided and the doctors collected a total of Rs 55,40,285 by misguiding the insurance company.

“The company gave the approval at the initial stage, but in its regular audit the company found that all the bills were bogus,” Police Inspector (Economic Offences Wing) Deepak Sawant said. “The 65 people who have medi-claim insurance have not been admitted or taken any treatment.

The complaint was lodged on Saturday. We’ve not arrested the doctors as investigations are still on. We are scrutinising all the documents. After that we will take a decision.” 

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