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Beneficiary Identification System (BIS)TRAINING MODULE

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Objective

HELPS VERIFY BENEFICIARIES FROM THE ENTITLED DATABASE AND CREATE

AUTHENTICATED BENEFICIARY REGISTRY

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Find Beneficiary

Collect

Individual

Identification

Collect Family

Identification

Trust/Insurance

Company

Approval

Print Ayushman

Bharat

Card

Beneficiary Identification System Flow

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Potential AB PM-JAY beneficiaries

Submit PM Letter/ RC No/Mobile No/RSBY URN

Search in BIS Application

Arogya Mitra/Kiosk Operator

Entitled SECC Database

Entitled RSBY Database

Additional Data Collection Drive Database

State Health Scheme Database

Individual Identification

1 Aadhaar KYC/Non Aadhaar

2 Verify Mobile No

3 Upload Scanned Document

Family Identification

1 Ration Card

2Enter Names of Family Members

3 Upload Scanned Document

Sent for ApprovalTrust/Insurance Company

Ration Card verification PDS Dept.

Scoring EngineSearch/Compare against SECC

ApprovedRecommended For Rejection

Rejected Approved

STATE

Verified Beneficiary (Golden record)

Beneficiary Identification System Process Flow

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Add Member Functionality in BIS

Verified Beneficiary (Golden record)

Search in BIS ApplicationMobileNumber/PMLetter/AB PM-JAY ID

Relationship Proof With

Verified beneficiary from the family

Individual Identification

Aadhaar KYC/Non Aadhaar

Verify Mobile No

Upload Scanned Document

Family Identification

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2 No Need to upload Scanned Document

Sent for ApprovalTrust/Insurance Company

Scoring EngineSearch/Compare against SECC

ApprovedRecommended For Rejection

Rejected Approved

STATE

Note: Validation process is same, as for a potential beneficiary

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2

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Verified Beneficiary’sRation Card details will populate

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You are eyes and ears of Ayushman Bharat

Be Ethical

Make the beneficiary feel comfortable

Believe and record what you see

Be convinced about the authenticity of the beneficiary

Collect Individual and Family Identification

Fraud Detection & Prevention

Print AyushmanBharat Beneficiary Card

Role of Arogya Mitra in BIS

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Document scanner

Ensure setting up of necessary hardware and software at public/private hospitals

Portable webcam

Electricity Power backup

Fingerprint scanner

Computer with internet connection

Beneficiary Identification System Preparedness

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Thank You

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Additional Slides

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Beneficiary Identification System Flow in detail

A potential Beneficiary will visit either Hospital or a designated Kiosk (e.g. CSC or identified by SHA) for his/her identification.

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Beneficiary needs to come with preferably Aadhaar Card or any

other photo based individual Government ID like Voter ID

card, PAN card etc. along with family ID like Ration Card.

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Arogya Mitra or Kiosk Operator will search a beneficiary

name/family using different ways/parameters.

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Upon identification of beneficiary in BIS Application,

beneficiary will be asked to submit either Aadhaar Number

(preferable) or any Govt. ID card for individual

identification/verification.4

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Beneficiary Identification System Flow in detail

Arogya Mitra or Kiosk Operator willperform an online authenticationusing Aadhaar or enter details incase of non-Aadhaar Identificationand also validate beneficiary mobilenumber. A photo of the beneficiarywill also be collected (in case of non-Aadhaar verification)5

Beneficiary will also have tosubmit a proof of family IDcard(Ration Card) forestablishing his relation in thefamily. The operator will alsoscan the family card documentsubmitted by the beneficiary.6

Record will be inserted into thedatabase as a ‘silver’ record (yetto be approved)

Operator can provide andacknowledgement slip to thebeneficiary.

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The Operator then submits the‘record’ to the Approvingauthorities for furtherverification and approval. Therewill be one Approving Authorityeither Insurance company/Trustas the case may be.8

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Beneficiary Identification System Flow in detail

The record can then be approved or recommended forrejection by these authorities.

Application will return a ‘name match score’ and‘family match ’ score, which are one of the criteria forapproving/rejecting a record.

If it is recommended for rejection then ApprovingAuthority will specify the reason and State approvingauthority will take final decision on the rejectedrecords

Beneficiary will be informed through SMSaccordingly.

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Approved beneficiary record getsinserted into the AB-PMJAY databaseunder a ‘verified’ beneficiary list.

This will get treated as a ‘golden’record. The beneficiary will beinformed through SMS accordingly.

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The ‘rejected’ beneficiaries orduplicate cards found in anybeneficiaries name/family areliable to be revoked/suspended.

Work-list feature for all the 3 user types –Arogya Mitra/Kiosk Operator, InsuranceApproval officer, State Approval Officer.

Work-list will allow users to view thenew/pending beneficiary application, aswell as allow specific functions like‘Approve’/’Reject’ with reasons.

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The End