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Arogya Kavach
Arogya Kavach — Claim Fraud Detection Analytics
Challenge addressed
Ayushman Bharat claim fraud and irregular hospital billing flagged by NHA anti-fraud units
What this tool does
Supports NHA anti-fraud units and State Health Agencies on AB PM-JAY: screens claims against fraud typologies like upcoding and phantom billing, risk-scores hospitals with transparent reasoning, and drafts audit plans and action notes.
Other tools for Ministry of Health & Family Welfare
Are you from Ministry of Health & Family Welfare?
We will deploy this tool for your office free of charge — built, tested and handed over, with training for your team.
Contact the project team