Ayushman Bharat PM-JAY Software
NexoraHMS — Ayushman Bharat PM-JAY software for hospitals. Support PM-JAY empanelment, package-based billing, beneficiary verification, and claim tracking in one system.
Ayushman Bharat PM-JAY is the world's largest health assurance scheme, covering over 50 crore beneficiaries with ₹5 lakh per family per year. For hospitals, PM-JAY empanelment opens access to a large patient base — but it also brings complex billing, package codes, and claim workflows.
NexoraHMS simplifies PM-JAY operations. Package rates, beneficiary verification, pre-authorisation, and claim tracking are all built-in. Your billing staff can process PM-JAY patients as easily as cash patients.
PM-JAY Features in NexoraHMS
Everything your hospital needs to run PM-JAY operations smoothly.
Package-Based Billing
All PM-JAY package codes and rates configured. Bills auto-generated from package selection.
Beneficiary Verification
Verify Ayushman Bharat beneficiary status during registration — capture ABHA or PM-JAY ID.
Pre-Authorisation Tracking
Track pre-auth requests, approvals, and pending cases for each PM-JAY patient.
Claim Submission Reports
Generate all reports and documents required for PM-JAY portal claim submission.
Claim Status Tracking
Track submitted, pending, approved, and rejected claims — with aging reports.
Reconciliation Reports
Reconcile PM-JAY payments with hospital accounts. Identify short payments and follow up.
Exclusions Management
PM-JAY exclusions and non-payable items tracked separately to prevent claim rejection.
Scheme-Wise Reports
Separate reporting for PM-JAY, CGHS, ECHS, and other government schemes.
Empanelment Data
Maintain all hospital data required for PM-JAY empanelment and renewals.
Hospitals That Benefit from PM-JAY Software
PM-JAY Empanelled Hospitals
Hospitals already empanelled under Ayushman Bharat who need better billing workflows.
Hospitals Seeking Empanelment
Hospitals applying for PM-JAY empanelment — NexoraHMS provides the required data and reports.
Multi-Scheme Hospitals
Hospitals handling PM-JAY, CGHS, ECHS, and private insurance — all in one system.
Government Hospitals
District hospitals, medical colleges, and government-run facilities.
Nursing Homes
Small nursing homes seeking PM-JAY empanelment to expand their patient base.
Trust & Charitable Hospitals
Hospitals run by trusts that rely on government schemes for funding.
Ayushman Bharat PM-JAY FAQs
Ayushman Bharat PM-JAY (Pradhan Mantri Jan Arogya Yojana) is the world's largest health assurance scheme, providing ₹5 lakh per family per year for secondary and tertiary hospitalisation to over 50 crore beneficiaries.
Yes. NexoraHMS supports Ayushman Bharat PM-JAY empanelment workflows including package-based billing, beneficiary verification, and claim tracking for empanelled hospitals.
Yes. PM-JAY package rates can be configured in NexoraHMS, and bills are generated based on package codes — with automatic exclusions and pre-authorisation tracking.
NexoraHMS generates all the data and reports required for PM-JAY portal submission. Contact us at +91 98115 51004 for specific integration requirements.
Yes. NexoraHMS is used by government-empanelled hospitals, CGHS hospitals, and private hospitals that participate in government health schemes.
Ready to Streamline PM-JAY Billing?
Get a free demo of NexoraHMS — see PM-JAY package billing and claim tracking live.