All Ayushman dues of pvt hospitals will be settled without delay: Haryana Govt

The State Health Authority (SHA), Haryana, has clarified on the recent concerns regarding the call for withdrawal of services by empanelled private hospitals under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) from August 7.

In response to communications from the Indian Medical Association (IMA), Haryana, a spokesperson of the SHA said all pending payments to empanelled healthcare providers were being processed and disbursed strictly in accordance with the first-in-first-out (FIFO) methodology. The SHA has assured that all outstanding dues would be settled without delay.

The spokesperson said claims submitted up to the second week of June had been settled. Since the inception of the scheme, over ₹3,050 crore has been disbursed to hospitals. For the current financial year, up to August 13, approximately ₹480 crore has been received from the Centre and the state government and fully utilised for eligible claim settlements. In the past seven days, Rs 170 crore had been released to empanelled hospitals in the state.

The spokesperson said claims were processed through the NHA’s online platform by a team of 60 doctors, using an impartial and transparent allocation system.

Hospitals are given an opportunity to upload supporting documents, including vital charts, OT notes, clinical images and lab reports before any claim is rejected or deducted. In case of disagreement, hospitals may appeal through the portal, and such appeals are reviewed by a medical audit committee.

Regarding hospital empanelment and NABH incentives, all hospitals that received NABH incentive approvals via HEM 1.0 would continue to be eligible, provided their NABH certifications were valid. Hospitals applying fresh must submit updated documentation via the HEM 2.0 portal, and these applications are being reviewed on priority.

The spokesperson said a large number of private hospitals across the state have distanced themselves from IMA’s service withdrawal call and continue to provide services. The SHA emphasised there was no valid basis for any disruption or withdrawal of services under AB PM-JAY, as all raised issues have been effectively addressed.