What's happening with Nashik Hospital Fraud right now

Three Nashik private hospitals — Shiv Multispeciality and Critical Care Hospital, Nashik Grace Hospital, and Rishikesh Hospital — are accused of fraudulently claiming ₹1.79 crore from government health schemes via fake treatment claims.

The fraud involved creating fake patient records and uploading forged documents to the Jeevandayee portal to obtain reimbursements for treatments never provided, affecting schemes like Ayushman Bharat–PM-JAY and MJPJAY.

A detailed audit ordered by the state government identified 361 suspicious claims from Nashik, and field verification found beneficiaries who never received treatment or had died before the alleged treatment dates.

The Worli Police in Mumbai have registered a criminal case against five office-bearers of the hospitals following a complaint by the Public Health Department.

The alleged fraud amounts per hospital: Shiv Multispeciality (163 cases, ₹71.83 lakh), Nashik Grace (126 cases, ₹62.14 lakh), and Rishikesh (72 cases, ₹45.46 lakh).

An FIR was registered against founders of three Nashik hospitals for allegedly submitting 361 bogus treatment claims worth nearly ₹1.79 crore under AB-PMJAY and MJPJAY.

The FIR names Trilok Patil and Rahul Patil of Shiv Multi-speciality and Criticare Hospital, Rahul Patil and Vitthal Patil of Grace Hospital, and Prashant Jadhav and Preetam Pachpute of Hrishikesh Hospital.

The fraud was detected after the chief minister ordered an inquiry into suspicious claims routed through the State Health Assurance Society.

A government-level decision led to the inspection of 15,407 claims submitted between July 2024 and February 2026, as several had the same mobile numbers and claimed over ₹5 lakh in a year.

During verification, officials found details in 361 claims could not be substantiated, including treatment in names of deceased people.