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Showing posts from December, 2024

Standard Guidelines for Claim Processing (SGCP) under Ayushman CAFF Scheme

Standard Guidelines for Claim Processing (SGCP) under Ayushman CAFF Scheme. existing Standard Treatment Guidelines (STG) dated 06.03.2023/; 2. These guidelines will be effective from 15.06.2024 onwards. 3. NHA, CAPFs, O/o Pr. CCA (Home) & O/o ADG (Medical) are requested to widely disseminate these guidelines among hospitals, CAPF person net, CPDs/SAs/DMs/DDOs/PAOs. 4. The bills uploaded on NHA IT portal prior to 15.06.2024 will be processed as per the standard treatment guideline (STG) dated 06.03.2023. 5. NHA is requested to upload these guidelines on Ayushman CAPF Portal. STANDARD GUIDELINES FOR CLAIM PROCESSING UNDER  AYUSHMAN CAPF SCHEME A. Each Unit/ Office will detail 02x Master trainers so that Jawans could upload their claims correctly with the help of the master trainers. B. For the persons, proceeding on superannuation/deputation a period of 06 months viewing rights to be allowed for view their claim status. C. FOR OPD CLAIMS (BILLS RAISED BY INDIVIDUAL/HOSPiTAU 1. Re...

What are the benefits of Ayushman CAPF card why this card is different from other ayushman card

  What are the benefits of Ayushman CAPF card why this card is different from other ayushman card The Ayushman CAPF Card is a specialized health card introduced under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) for personnel of the Central Armed Police Forces (CAPF) and their families. Here's how it stands out and its benefits: Benefits of the Ayushman CAPF Card : Cashless Healthcare Services : Provides cashless healthcare access to CAPF personnel and their families across empaneled hospitals in India. Extensive Coverage : Covers up to ₹5 lakh per family per year for secondary and tertiary care hospitalizations. Wide Hospital Network : Includes both government and private hospitals empaneled under the scheme. Special Focus on CAPF Needs : Tailored to address the unique healthcare needs of CAPF personnel, given their high-risk and physically demanding roles. Portability : Cardholders can avail of treatment anywhere in the countr...