Rashtriya Swasthya Bima Yojana (RSBY)

This is largest health policy coverage for Poor people in India. Total number of active cards is over 3.5 Cr and more that 50 Lakh people have taken benefit from this policy in last 4 years. Ministry of Labour and Employment, Government of India has launched a health insurance scheme for BPL families which is called Rashtriya Swasthya Bima Yojana (RSBY).We are contributing Insurance Companies with superior doctors who goes on the real time visit to their network hospital along with our specialized assessors for the medical check and balances for the admitted patients in the various packages designed by RSBY cell.

If our medicos during audit finds patient has been wrongly blocked by the hospital, they insist hospital to unblock the patient slip and pass the credit back to patients card.

We have developed software which helps us in doing audit in real time.

In either of the ways. Non genuine and genuine claims send across to insurer along with our medical observation. We also provide general comment of the hospital and suggest that insurance company should take action.

Software Support

We also maintain our own software data of the entire audit we have done and which is being assessed by central team on regular basis based on which we develop the system of auditing hospital/Patient purely on the criteria’s based on the RSBY policy.