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Fraud worth crores unearthed in Rajasthan govt health scheme; doctor and lab operator held
The Special Operations Group uncovered a major fraud in the Rajasthan Government Health Scheme involving doctors and a private lab operator who submitted fake prescriptions and diagnostic reports to claim reimbursements. Two doctors were arrested, and investigations revealed fake MRI tests, inflated billing, and manipulated dates. A case was registered on a health department complaint, and investigators are pursuing other possible culprits.
Why It Matters
The fraud undermines the integrity of the health scheme and results in financial losses for the state, potentially depriving genuine beneficiaries of benefits.
Timeline
2 Events
SOG uncovers health scheme fraud; two doctors arrested; case registered
May 4, 2026
Jaipur-based Special Operations Group announced it had unearthed a major fraud in the Rajasthan Government Health Scheme involving a nexus between certain doctors and a private lab operator. Two accused—Dr Kamal Kumar Agrawal, associate professor at SK Hospital in Sikar, and Dr Banwari Lal alias B Lal, operator of a private lab in Sikar—were arrested. The fraud involved fake prescriptions and diagnostic reports uploaded to the RGHS portal to claim reimbursements. The case was registered on a health department complaint, and police said investigations would identify other involved doctors and lab staff, with strict legal action likely.
MRI report dated December 4, 2023 altered to December 5 to secure reimbursement
December 4, 2023
An MRI report dated December 4, 2023 was altered to December 5 to secure reimbursement, even though the patient had not visited Sikar on that day. The case notes indicate broader manipulation including charging for altered or multiple reports and misattributing referrals to inflate claims.