Safeguarding Public Healthcare Funds Under PM-JAY
The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) and state health trusts protect over 500 million citizens. LiceronTech provides an automated, anti-fraud decision shield to detect ghost hospital admissions, fake diagnostic tests, and synthetic billing networks.
Targeting the 4 Major Public Health Leakage Vectors
Protecting taxpayer funds and ensuring genuine beneficiary care through automated forensic verification.
Ghost Admissions & Identity Harvesting
Unscrupulous clinics collect beneficiary ration cards or ABHA numbers during free medical camps and submit synthetic claims for surgeries that were never performed.
Surgical Upcoding & Package Inflation
Billing standard conservative medical management as high-tariff surgical procedures (e.g. upcoding a simple wound dressing into an exploratory laparotomy).
Mass Cloned Discharge Summaries
Empaneled centers submitting hundreds of identical hysterectomy or cataract discharge summaries with identical clinical wording.
Duplicate Scheme & Private Policy Billing
Hospitals claiming payment from the state PM-JAY fund while also collecting cashless reimbursement from the patient's commercial insurer.
Aligned with NHA Anti-Fraud Guidelines & ABDM Framework
LiceronTech implements National Health Authority (NHA) anti-fraud directives, Health Benefit Package (HBP 2.2 / HBP 2022) rules, and ABDM interoperability protocols for secure state deployment.
Protect State Health Trust Funds with AI
Schedule an enterprise demonstration for State Health Agencies (SHAs), trust administrators, and government program directors.