Haryana to immediately clear pending claims under Ayushman Bharat Yojana: Govt

| | Chandigarh
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Haryana to immediately clear pending claims under Ayushman Bharat Yojana: Govt

Tuesday, 04 February 2025 | PNS | Chandigarh

The Chief Principal Secretary to the Haryana Chief Minister, Rajesh Khullar and representatives of the Indian Medical Association (IMA) on Monday held a meeting in which an assurance was given that the demands put forth by the IMA will be fulfilled. Under this, all applications received for claims under the Ayushman Bharat Yojana till March 10 will be paid by March 31. For this, an adequate amount will be approved for the department in the revised budget. Apart from this, a budget of Rs 2500 crore will be provided for settlement and timely payment of claims under the Ayushman Bharat Yojana for the next year.

Sangeeta Tetarwal, Chief Executive Officer of Ayushman Bharat Haryana Health Protection Authority, said that Rs 195 crore has been paid for the claim applications received from January 1 till now. The remaining pending claims will be paid in February. Apart from this, the claim applications received till March 10 will be settled by March 31, 2025.

She said the process of claim was explained in detail in the meeting. It was decided in the meeting that the claims related to medicine and pediatrics will be processed by a special team of specialized doctors. Apart from this, information about suspicious cases that come to light through Artificial Intelligence will be shared with hospitals as soon as possible.

She said if the claim amount has been reduced for any reason, then the hospital will give detailed information about the reasons for that reduction. Doctors will be retrained to inspect the claim, so that the payment of the claim can be ensured in a timely manner and unnecessary deductions are not made. It was also discussed in the meeting that if the patient is not willing to get treatment under the Ayushman Bharat Yojana, then he will be given the option to get treatment at his own expense.

It was also decided in the meeting that the process of appeal for the claim will be further strengthened. Hospitals will also be given the option to file a second appeal. Strict instructions have been given to the concerned officials to pay the claim amount within the stipulated time limit.

Additional Chief Secretary, Health and Family Welfare Sudhir Rajpal, Additional Chief Secretary, Finance Anurag Rastogi and representatives of the Haryana unit of IMA were present in the meeting.

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