PMJAY
Golloc HMS supports PMJAY/Ayushman Bharat claim processing, beneficiary verification, and scheme management.
What is PMJAY?
Pradhan Mantri Jan Arogya Yojana (PMJAY) is the world's largest health insurance scheme, providing coverage of up to ₹5 lakh per family per year for secondary and tertiary care hospitalization. Golloc HMS includes built-in PMJAY support for beneficiary verification, cashless claim processing, treatment authorization, and claim settlement tracking. Our system integrates with the National Health Authority's (NHA) Transaction Management System (TMS) for real-time beneficiary verification and claim submission.
What PMJAY mandates
Real-time verification of PMJAY beneficiary eligibility using ABHA or mobile number.
Electronic pre-authorization requests for planned procedures and treatments.
Cashless claim submission with automatic tracking of approval and settlement status.
Management of scheme packages, rates, and hospital empanelment details.
Why Golloc for PMJAY
Built-in PMJAY capabilities
Verify PMJAY eligibility using ABHA number, mobile number, or ration card details.
Submit electronic pre-authorization requests for planned procedures with medical documentation.
Submit cashless claims with automatic coding of packages and procedures.
Real-time tracking of claim status from submission through approval and settlement.
Up-to-date PMJAY package master with procedure codes, rates, and room categories.
Frequently asked questions
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