AI to Clear Ayushman Bharat Claims in UP, MP; Faster Approvals, Less Fraud Expected

• Ayushman Bharat claims will soon be decided by Artificial Intelligence (AI) instead of doctors, starting with a pilot project in Uttar Pradesh and Madhya Pradesh.
• The National Health Authority (NHA) approved the AI-based system to make claim verification faster, more efficient, and transparent.
• The automated system aims to approve simple claims within hours, significantly reducing payment delays for hospitals.
• AI will strengthen monitoring, detect fraudulent submissions, and improve service delivery for patients under the scheme.
• Initial focus in UP will be on kidney care and dialysis claims; experts emphasize the importance of data security and accuracy.