Dismissed¶22

Dr Suresh Gupta v. Union of India & Ors.

Delhi HC13 Jan 2026W.P.(C)/389/2026

Case brief

AI extract

What is this about?

Exhaustion of alternate remedy — insurance dispute; writ petition dismissed with liberty to approach Ombudsman; Rule 13 Insurance Ombudsman Rules, 2017; cashless medical treatment; pre-authorisation approval vs amount released; belated payment; empanelled medical centre (Geetanjali Medical Centre); IRDA Act, 1999; TPA–Health Services Regulations, 2016; Health Insurance Regulations, 2016; Union of India; Delhi High Court; writ jurisdiction; Purushaindra Kumar Kaurav, J.; 13.01.2026.

What did the court decide?

Liberty to the petitioner to take recourse to the alternative remedy (Ombudsman under Rule 13 of the Insurance Ombudsman Rules, 2017). ¶22

Dr Suresh Gupta Vs Union of India & Ors. — Delhi HC (2026) — LawSathi Research

¶1

$~88

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IN THE HIGH COURT OF DELHI AT NEW DELHI

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- W.P.(C) 389/2026

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DR SURESH GUPTA .....Petitioner

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Through: Ms. Isha khanna, Mr. Nikhil Arora, Ms. Ruchika Malik, Advocates

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versus UNION OF INDIA & ORS. .....Respondents

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Through: Ms. Arunima Dwivedi CGSC with Ms Aditi Singh GP, Ms Himanshi Singh Advocate for UOI. Mr. Abhishek Nanda and Ms. Hrishika Rawat, Advocates for R-2.

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CORAM:

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HON'BLE MR. JUSTICE PURUSHAINDRA KUMAR KAURAV

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O R D E R

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% 13.01.2026

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CM APPL. 1869/2026 (for exemption)

¶13

Exemption allowed, subject to all just exceptions.

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The application stands disposed of.

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W.P.(C) 389/2026

¶16

The petitioner is a Doctor and claims to be the owner of a medical centre under the name and style of Geetanjali Medical Centre, which has been authorised/empanelled with Respondent No. 3. The petitioner submits that it has been officially authorised for providing cashless medical treatment to policyholders insured under Respondent No. 3's policies, as per Insurance Regulatory and Development Authority (IRDA) Act, 1999 and Regulations made thereunder i.e., Insurance Regulatory and Development

¶17

This is a digitally signed order.

¶18

The authenticity of the order can be re-verified from Delhi High Court Order Portal by scanning the QR code shown above. The Order is downloaded from the DHC Server on 15/01/2026 at 13:30:55

¶19

Authority of India (Third Party Administrators- Health Services) Regulations, 2016 and Insurance Regulatory and Development Authority of India (Health Insurance) Regulations, 2016. It is contended that as per the relevant policy, respondent no. 3 would grant pre-authorised approval on the basis of which the petitioner would treat patients without recovering the medical fees from them. The petitioner’s grievance is that the amount released to the petitioner by respondent no. 3 would be lesser than the preauthorised approval, and the same would also be highly belated.

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Various submissions have been made by learned counsel for the petitioner to the effect that that respondent no.3 has repeatedly violated the relevant rules and regulations.

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However, the Court is of the opinion that the petitioner has an alternate remedy before the Ombudsman under Rule 13 of the Insurance Ombudsman Rules, 2017, which will have to be first exhausted before invoking the writ jurisdiction of this Court.

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The petition is, therefore, dismissed with liberty to the petitioner to take recourse to the alternative remedy.

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PURUSHAINDRA KUMAR KAURAV, J

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JANUARY 13, 2026 Nc/amg

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This is a digitally signed order.

¶26

The authenticity of the order can be re-verified from Delhi High Court Order Portal by scanning the QR code shown above. The Order is downloaded from the DHC Server on 15/01/2026 at 13:30:55

Dr Suresh Gupta v. Union of India & Ors.

Case brief

What is this about?

What did the court decide?

Dr Suresh Gupta v. Union of India & Ors.

Case brief

What is this about?

What did the court decide?

Why is it important?

What the court decided

Issues for consideration

Statutes considered

Parties & counsel

Coram

Case details

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