Department
Coming soon
Arogya Kavach
Arogya Kavach — Health Claim Fraud Analytics
Challenge addressed
Ayushman Bharat claim processing and fraud detection strain payer systems
What this tool does
Fraud analytics support for Ayushman Bharat PM-JAY claim teams: screens hospital claims against package rules and known abuse patterns — upcoding, ghost patients, unbundling, implausible volumes — scores risk, and drafts audit triggers and desk-review notes.
Other tools for Department of Health and Family Welfare
Are you from Department of Health and 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