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daniyasiddiqui
daniyasiddiquiEditor’s Choice
Asked: 27/12/20252025-12-27T12:31:35+00:00 2025-12-27T12:31:35+00:00In: News

How were seven people able to create and use fraudulent health cards in Lucknow to illegally claim benefits?

fraudulent health cards in Lucknow to illegally claim benefits

fake health benefithealth card fraudhealth system exploitationinsurance fraudlucknow fraud casemedical scam
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    1. daniyasiddiqui
      daniyasiddiqui Editor’s Choice
      2025-12-27T12:32:29+00:00Added an answer on 27/12/2025 at 12:32 pm

      1. Selling Personal and Demographic Data One of the main reasons this fraud was able to succeed is because of unauthorized access to Aadhaar and demographic details. The accused allegedly collected personal details of individuals, at times without their knowledge, through middlemen, local agents, orRead more

      1. Selling Personal and Demographic Data

      One of the main reasons this fraud was able to succeed is because of unauthorized access to Aadhaar and demographic details. The accused allegedly collected personal details of individuals, at times without their knowledge, through middlemen, local agents, or informal networks that worked by exchanging information. In some instances, beneficiaries were deceived under false pretensions into providing documents in order to receive government benefits or signing up for a particular scheme.

      2. Enrollment and Verification Gaps Exploitation

      Most of the health schemes nowadays depend on a digital enrollment system, but verifications in most cases are semi-automated. The accused got away with fraud in areas where either physical verification was weak or hurried, or where there were a very large number of enrollments. In such cases, they would manipulate documents and upload them or re-use genuine data to create health cards that passed the system’s verification.

      3. Collusion and Insider Knowledge

      Frauds involving such processes rarely succeed without insider knowledge. The arrested individuals reportedly knew about backend processes, like how the applications move from submission to approval. This helped them in bypassing some red flags, delaying scrutinies, or submitting them in batches so as not to be noticed.

      4. Utilization of Nominee or Proxy Beneficiaries

      In many cases, fictitious identities or proxy beneficiaries were created. Such cards were then utilized at empanelled hospitals for raising claims for treatments that never took place. At times, genuine patients were shown procedures they never received, while in other cases, entirely fictitious admissions were created in the system.

      5. Poor Real-time Claim Monitoring

      Although claims are recorded electronically, there is no uniform use of real-time analytics or anomaly detection. This enabled the suspicious patterns, like repeated claims from the same facilities or unusually high-value treatments, to go undetected until law enforcement stepped in to take action.

      6. Lack of Beneficiary Awareness

      Most of the genuine beneficiaries are unaware as to how and when their health cards are used. The absence of instant alerts-through SMS or apps-means fraudulent usage of their identity did not raise immediate alarms. This delayed complaints and the perpetuation of fraud.

      7. Reactive Rather Than Preventive Controls

      This racket was brought to light through intelligence inputs and focused investigations, rather than automatic alerts from the systems. This highlights the fact that while the systems exist, their enforcement becomes reactive in most cases—post-financial leakage, rather than upfront.

      Broader Takeaway

      This certain incident has underlined that digital governance is only as strong as the weakest point of control. While technology allows scale and speed, it has to be duly supported by strong audits, beneficiary communication, periodic verification, and strict accountability. The arrests in Lucknow also point out that corrective steps and warnings go hand in hand with continuous strengthening of the system to protect the public welfare funds.

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