Verify PM-JAY beneficiary eligibility, Ayushman Card and required identity documents.
Register patients and update case details in the PM-JAY/TMS portal.
Prepare and submit pre-authorization requests with required clinical documents.
Coordinate with doctors and clinical departments for treatment notes, investigations and medical records.
Ensure correct PM-JAY package selection and billing as per applicable scheme guidelines.
Prepare discharge billing and collect all required claim documents.
Submit claims within prescribed timelines and maintain claim records