Guidance regarding empanelment process for PMJAY, CGHS, ECHS, ESIC, and State Health Schemes.
Our Consultancy provides guidance regarding the empanelment process for PMJAY (Ayushman Bharat), CGHS, ECHS, ESIC, State Health Schemes, and other authorized programs.
We help hospitals navigate the complex documentation and compliance requirements to serve government beneficiaries effectively.
To provide high-quality, safe, and equitable healthcare services to beneficiaries in line with:
We support empanelment for the following major schemes:
Empanelled hospitals must ensure adherence to the following NABH guidelines:
| NABH Standard | Requirement |
|---|---|
| PRE (Patient Rights) | Beneficiaries are informed about entitlements, coverage limits, and exclusions. |
| AAC (Access & Care) | Prompt admission and appropriate care are provided to eligible patients. |
| IMS (Info Management) | Secure, accurate, and confidential data handling for scheme beneficiaries. |
| CQI (Quality Improvement) | Monitoring of claim processing, patient feedback, and service turnaround. |
These principles ensure transparency, patient safety, and accountability.
Patients present scheme card/ID for verification at the front desk.
Hospital submits request to government portal or nodal agency.
Once approved, patients receive cashless treatment per guidelines.
Discharge summary and claim documents submitted for settlement.
NABH-compliant feedback and grievance mechanisms.
Access to quality healthcare for all socio-economic groups.
Cashless hospitalization for eligible beneficiaries.
Standardized treatment costs as per approved rates.
Reduced financial burden on patient families.
Compliance with NABH and scheme quality parameters.
Transparent claim management and documentation.
Empanelment under major Central & State schemes.
Ensuring authentic and accurate services.
Dedicated support for hospitals & organizations.
Quick turnaround for approvals and discharges.
“Accessible care, assured quality — serving the nation through government healthcare partnerships.”
We believe that quality healthcare is a right, not a privilege.