Fake Claims for Maternity Services Filed Under Male Insured Persons' Names
Summary
Fraudulent maternity and Cesarean section claims have been filed under the names of male insured persons in the Health Insurance Board’s online system. The board says it is investigating the irregularities while also transferring billions of rupees in approved outstanding payments to service provider health institutions.
Key Points
- Fraudulent payment claims for maternity and Caesarean section services were found under the names of male insured persons in the Health Insurance Board system.
- Claims were identified in the names of Shravan Kumar Poudel and Shyam Sundar Shakya, with the board saying the entries appear to violate claim criteria.
- Information Officer Bikesh Mall said the board is investigating the issue and questioning some hospitals.
- The Health Insurance Board has also sent over Rs 9.73 billion to service provider health institutions after deductions and verification of outstanding claims.
