CGHS HOSPITALS IN MUMBAI CGHS HOSPITALS IN MUMBAI 1 Apex Hospital Vaishali Heights, Chandavakar Road, Borivali (W), Mumbai- 400 092 022-42457000 sangeeta@apexhospitals.in Bharati Rawal Mahek 9284611736 9320867015 Non-NABH 01/05/2020 30/04/2021
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...