- Eligibility & Registration: Verify patient identification and check if they qualify for advantages on the official Ayushman portal.
- Pre-Authorization: Submit initial treatment estimates, clinical notes, and pre-authorization requests to the government or TPA desk within set deadlines.
- Documentation & Billing: Coordinate with doctors and nurses to gather correct
- Claim Submission & Follow-up: Upload final files, track pending claims, handle portal queries, and re-submit corrected documents to avoid rejections.
- Department Coordination: Work closely with the billing, medical records, pharmacy, and accounts teams to resolve payment or paperwork gap