The Ministry of Health and Family Welfare announced that the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) Auto-Adjudication Hackathon’s grand finale and showcase will take place in Bengaluru on May 8-9. Organized by the National Health Authority (NHA) in collaboration with IndiaAI Mission and IISc Bengaluru, the event aims to use artificial intelligence to improve health claims processing.
Over 3,500 participants have registered for the nationwide hackathon, indicating a growing interest in applying AI to public health systems. The two-day event will exhibit innovative solutions focused on enhancing the efficiency, accuracy, and transparency of claims adjudication under AB PM-JAY.
Finalist teams will present AI and machine learning-based solutions addressing various challenges, including clinical document classification, compliance with Standard Treatment Guidelines (STGs), radiological image-based validation, and detection of forged medical documents. These solutions are expected to enhance the speed and integrity of claims processing in real-world scenarios.
The program will include panel discussions on topics like ‘Building AI for Indian Healthcare’ and the ‘Future of Claims Adjudication,’ featuring experts from government, industry, startups, and academia. Additionally, a session will delve into ‘Fraud, Waste and Abuse in the Era of AI,’ focusing on responsible technology use in fraud detection while addressing concerns about transparency, accountability, and data privacy.
With Ayushman Bharat processing nearly 40,000 claims daily across over 1,900 treatment packages, it stands as one of the world’s largest publicly funded health assurance schemes, increasingly incorporating AI-driven approaches for claims management.
