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Beneficiary Identification System (BIS) TRAINING MODULE

Beneficiary Identification System (BIS) TRAINING MODULE. Objective. HELPS VERIFY BENEFICIARIES FROM THE ENTITLED DATABASE AND CREATE AUTHENTICATED BENEFICIARY REGISTRY. Beneficiary Identification System Flow. Trust/Insurance Company Approval. Print Ayushman Bharat Card. Collect Family

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Beneficiary Identification System (BIS) TRAINING MODULE

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  1. Beneficiary Identification System (BIS) • TRAINING MODULE

  2. Objective HELPS VERIFY BENEFICIARIES FROM THE ENTITLED DATABASE AND CREATE AUTHENTICATED BENEFICIARY REGISTRY

  3. Beneficiary Identification System Flow Trust/Insurance Company Approval Print Ayushman Bharat Card Collect Family Identification Find Beneficiary Collect Individual Identification

  4. Beneficiary Identification System Process Flow Potential AB PM-JAY beneficiaries Scoring Engine Search/Compare against SECC Submit PM Letter/ RC No/Mobile No/RSBY URN Sent for Approval Trust/Insurance Company Arogya Mitra/Kiosk Operator Family Identification Individual Identification Search in BIS Application Approved Recommended For Rejection Ration Card Aadhaar KYC/Non Aadhaar 1 1 Enter Names of Family Members 2 Verify Mobile No 2 Upload Scanned Document Upload Scanned Document 3 3 State Health Scheme Database Entitled SECC Database STATE Entitled RSBY Database Additional Data Collection Drive Database Verified Beneficiary (Golden record) Approved Rejected Ration Card verification PDS Dept.

  5. Add Member Functionality in BIS Scoring Engine Search/Compare against SECC Sent for Approval Trust/Insurance Company Verified Beneficiary (Golden record) Family Identification Individual Identification Recommended For Rejection Approved Verified Beneficiary’s Ration Card details will populate Aadhaar KYC/Non Aadhaar 1 1 Search in BIS Application Mobile Number/PM Letter/AB PM-JAY ID Relationship Proof With Verified beneficiary from the family 2 Verify Mobile No No Need to upload Scanned Document 2 Upload Scanned Document 3 STATE Approved Rejected Note: Validation process is same, as for a potential beneficiary

  6. Role of Arogya Mitra in BIS Believe and record what you see Make the beneficiary feel comfortable You are eyes and ears of Ayushman Bharat Be Ethical 3 4 1 2 Fraud Detection & Prevention Be convinced about the authenticity of the beneficiary Collect Individual and Family Identification Print Ayushman Bharat Beneficiary Card 5 7 6 8

  7. Beneficiary Identification System Preparedness • Computer with internet connection • Fingerprint scanner • Ensure setting up of necessary hardware and software at public/private hospitals • Electricity Power backup • Portable webcam • Document scanner

  8. Thank You

  9. Additional Slides

  10. Beneficiary Identification System Flow in detail 2 1 • A potential Beneficiary will visit either Hospital or a designated Kiosk (e.g. CSC or identified by SHA) for his/her identification. • 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. • Arogya Mitra or Kiosk Operator will search a beneficiary name/family using different ways/parameters. • 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 3

  11. Beneficiary Identification System Flow in detail 5 6 • Arogya Mitra or Kiosk Operator will perform an online authentication using Aadhaar or enter details in case of non-Aadhaar Identification and also validate beneficiary mobile number. A photo of the beneficiary will also be collected (in case of non-Aadhaar verification) • Beneficiary will also have to submit a proof of family ID card(Ration Card) for establishing his relation in the family. The operator will also scan the family card document submitted by the beneficiary. • Record will be inserted into the database as a ‘silver’ record (yet to be approved) • Operator can provide and acknowledgement slip to the beneficiary. • The Operator then submits the ‘record’ to the Approving authorities for further verification and approval. There will be one Approving Authority either Insurance company/Trust as the case may be. 8 7

  12. Beneficiary Identification System Flow in detail 9 10 • The record can then be approved or recommended for rejection by these authorities. • Application will return a ‘name match score’ and ‘family match ’ score, which are one of the criteria for approving/rejecting a record. • If it is recommended for rejection then Approving Authority will specify the reason and State approving authority will take final decision on the rejected records • Beneficiary will be informed through SMS accordingly. • Approved beneficiary record gets inserted into the AB-PMJAY database under a ‘verified’ beneficiary list. • This will get treated as a ‘golden’ record. The beneficiary will be informed through SMS accordingly. • The ‘rejected’ beneficiaries or duplicate cards found in any beneficiaries name/family are liable to be revoked/suspended. • Work-list feature for all the 3 user types – Arogya Mitra/Kiosk Operator, Insurance Approval officer, State Approval Officer. • Work-list will allow users to view the new/pending beneficiary application, as well as allow specific functions like ‘Approve’/’Reject’ with reasons. 12 11

  13. The End

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