CBI Investigates Large-Scale Fraud in Ex-Servicemen Health Scheme
Ex-Servicemen Contributory Health Scheme ‘fraud’ | Fake bills and forged records used to siphon off govt funds: CBI books doctors, hospitals
The Indian Express
Image: The Indian Express
The Central Bureau of Investigation (CBI) has launched an investigation into a significant fraud involving the Ex-Servicemen Contributory Health Scheme (ECHS). The agency has accused private healthcare providers and hospital staff of conspiring to misuse government funds through fraudulent medical claims, with several individuals and entities named in the FIR.
- 01CBI registered an FIR on March 30 regarding fraud in the Ex-Servicemen Contributory Health Scheme.
- 02Accusations involve private healthcare providers, including Manthan Health Care and Dharam Hospital.
- 03Fraudulent claims were allegedly generated through fabricated medical records and inflated bills.
- 04The investigation includes the role of unidentified public officials in processing suspicious claims.
- 05Evidence seized includes patients' files, WhatsApp chats, and forged documents.
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The Central Bureau of Investigation (CBI) has filed a First Information Report (FIR) regarding a substantial fraud in the Ex-Servicemen Contributory Health Scheme (ECHS), accusing various private healthcare providers and hospital staff of conspiring to defraud the government. The FIR, registered on March 30, names Dr. Vikas Sharma and Dr. Rimple Gupta, directors of Manthan Health Care, alongside Dharam Hospital Private Limited and other employees. The CBI's investigation reveals a systematic method of generating fraudulent medical reimbursement claims through collusion with empanelled hospitals and manipulation of medical records. Evidence collected during a Joint Surprise Check (JSC) on February 24, 2026, included patients' files and WhatsApp communications, indicating prior coordination for fraudulent claims. Allegations also suggest that non-empanelled entities like Manthan Health Care operated in conjunction with empanelled facilities to misrepresent patient admissions, frequently labeling them as emergencies without proper justification. The investigation is ongoing, with the CBI scrutinizing the involvement of unidentified ECHS officials in this fraudulent scheme.
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This investigation could lead to significant repercussions for healthcare providers involved in fraudulent activities, potentially affecting the availability and integrity of healthcare services for ex-servicemen.
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