Kochi medical insurance fraud case: Probe launched 

Though she was supposed to transfer the advance amount as refund to the patients after claiming the amount, she failed to transfer the amount to the patients.

Published: 20th October 2022 03:59 AM  |   Last Updated: 20th October 2022 03:59 AM   |  A+A-

Doctors

Image used for representational purpose only. (File Photo)

By Express News Service

KOCHI: The police have launched a detailed probe into a medical insurance fraud case in which an employee of a major private hospital in the city allegedly siphoned off lakhs of rupees after forging insurance records of patients.

Based on the complaint lodged by the hospital, a case has been registered against four persons including a senior staff identified as Shiny P P, 47, of Ikkaranadu North who used to work in the insurance wing of the hospital. The police said the incident came to light after hospital authorities lodged a private complaint before a local court and secured a favourable verdict to conduct a detailed probe.

The police said Shiny was working as a senior manager at the insurance department of the hospital and had allegedly committed fraud to the tune of Rs 15 lakh between December 1, 2011 and October 14, 2020. The accused forged documents and misappropriated the amount collected from the patients as advance payment for the insurance claim despite claiming the amount from the insurance company.

Though she was supposed to transfer the advance amount as refund to the patients after claiming the amount, she failed to transfer the amount to the patients. The accused transferred the money she allegedly misappropriated by committing fraud in three tranches. Initially, she transferred Rs 5.24 lakh to her aunt’s account, then Rs 3.61 lakh was transferred to her son’s account and again Rs 6.39 lakh to another account. The police said the accused could access the list of patients with insurance coverage as it was her duty to prepare the list of patients eligible for insurance claim.



Comments

Disclaimer : We respect your thoughts and views! But we need to be judicious while moderating your comments. All the comments will be moderated by the newindianexpress.com editorial. Abstain from posting comments that are obscene, defamatory or inflammatory, and do not indulge in personal attacks. Try to avoid outside hyperlinks inside the comment. Help us delete comments that do not follow these guidelines.

The views expressed in comments published on newindianexpress.com are those of the comment writers alone. They do not represent the views or opinions of newindianexpress.com or its staff, nor do they represent the views or opinions of The New Indian Express Group, or any entity of, or affiliated with, The New Indian Express Group. newindianexpress.com reserves the right to take any or all comments down at any time.

flipboard facebook twitter whatsapp