📷 Image: Wikimedia Commons / Government of India
Health
Excessive Medical Claims Uncovered at Rajasthan's RGHS: 238 Patients Faced Repeated Tests
✍️ Amar Ujala · Jaipur
🗓 22 Aug 2026, 07:28 AM
👁 6
A data review of Rajasthan Government Hospital Services revealed 479 claim cases involving 238 beneficiaries in a month, with patients often called 3‑4 times for expensive tests.
Rajasthan Government Hospital Services (RGHS) has come under scrutiny after a recent data analysis showed a surge in medical claim activity. Within a single month, officials identified 479 distinct claim instances linked to 238 beneficiaries, indicating that many patients were subjected to multiple investigations.
The hospital’s protocol requires pre‑authorization for any diagnostic test costing more than Rs 2,000. To bypass this safeguard, staff reportedly separated the testing process from the claim submission, prompting patients to return to the facility three to four times for the same set of investigations.
The pattern was not isolated to a single centre; roughly fifty hospitals under the RGHS network were found to be part of the broader claim‑generation exercise. Health authorities have begun a detailed audit to verify the legitimacy of the claims and to ensure that patients are not being unduly burdened by repeated, costly tests.
If the irregularities are confirmed, the findings could lead to stricter enforcement of pre‑authorization rules and possible penalties for institutions that manipulate the claim system, safeguarding public funds and patient welfare alike.
The hospital’s protocol requires pre‑authorization for any diagnostic test costing more than Rs 2,000. To bypass this safeguard, staff reportedly separated the testing process from the claim submission, prompting patients to return to the facility three to four times for the same set of investigations.
The pattern was not isolated to a single centre; roughly fifty hospitals under the RGHS network were found to be part of the broader claim‑generation exercise. Health authorities have begun a detailed audit to verify the legitimacy of the claims and to ensure that patients are not being unduly burdened by repeated, costly tests.
If the irregularities are confirmed, the findings could lead to stricter enforcement of pre‑authorization rules and possible penalties for institutions that manipulate the claim system, safeguarding public funds and patient welfare alike.