ABPMJAY · PMJAY · MJPJAY Claims Administration

Every scheme claim, carried from registration to payment.

Ayushman Assist Services manages the full ABPMJAY / PM-JAY claims lifecycle for empanelled hospitals — registration, pre-authorisation, approval tracking, discharge, claim submission, and payment reconciliation — backed by purpose-built digital systems, not spreadsheets held together by hope.

Partner with us Hospital login →
Registration No.20260817100XXXXX
StageClaim Submit
PackageSurgical Oncology
Claim Approved Amt.₹ 84,200
StatusReady for payment
Claim
Approved
02
Empanelled hospitals currently supported
7
Tracked claim stages — registration to payment
2,200+
Procedure & package records mapped for accurate coding
100%
Digital tracking — no claim managed off-system
What we do

Claims administration, built around how hospitals actually work

We sit inside the hospital's ABPMJAY workflow — not beside it — so nothing falls through between departments.

01

End-to-end claim lifecycle management

Registration, pre-authorisation, approval tracking, discharge, claim submission and payment — each stage logged, dated, and accountable.

02

Documentation & scheme compliance

Procedure/package coding aligned to HBP rates, tiered pricing rules, and enhancement handling — kept audit-ready at every step.

03

Purpose-built digital systems

Custom dashboards, discharge trackers, and registration tools designed around each hospital's own patient volume and specialties — not generic software.

04

Scheme liaison & escalation support

Direct follow-up with the State Health Agency on payment discrepancies, reconciliation issues, and claim queries, tracked to resolution.

The workflow

One claim, seven checkpoints

The same sequence every claim moves through — visible to the hospital at every stage.

01

Registration

Patient & beneficiary details logged against the scheme.

02

Pre-auth

Procedure/package selected and submitted for approval.

03

Approval

Scheme approval tracked and recorded against the case.

04

Discharge

Treatment completed, discharge summary logged.

05

Claim submit

Final claim filed with supporting documentation.

06

Claim paid

Payment reconciled against the approved amount.

07

Reporting

Hospital sees live status through its portal, any time.

Currently serving

Hospitals we work with

Active partner

Shri Siddhivinayak Ganapati Cancer Hospital

Miraj — Oncology-focused ABPMJAY claims support across General Surgery, General Medicine, Palliative Medicine and Surgical Oncology.

Hosp. Code — HOSP7P78936
Active partner

Horizon Multi-Speciality Hospital

Sangli — Full-scheme claims processing and package-based billing support across multiple specialities.

Hospital ID — HOSP27P11106
Why hospitals stay with us

Built to be trusted with the next claim, too

Nothing is tracked off-system

Every registration, approval and payment sits in one system the hospital can see — not in a notebook or a personal inbox.

We chase discrepancies, not just paperwork

Payment mismatches and reconciliation issues are raised directly with the scheme authority and followed through to resolution.

Systems built around your hospital, specifically

Dashboards and trackers are shaped by your own department mix, package structure, and patient volume — not a one-size template.

Available, and accountable

A dedicated point of contact for the hospital's claims desk, with response times that don't depend on office hours.

Partner hospitals

See your claim status, live

Registered hospital partners can log in to view real-time claim status and download monthly scheme reports.

Go to hospital portal →
Get in touch

Considering ABPMJAY claims support for your hospital?

We currently support two hospitals end-to-end and have room to take on more. Get in touch to discuss your claims volume and current gaps.

Email Ayushmanasist@gmail.com