Beneficiary Identification System BIS TRAINING MODULE 1 Objective

Beneficiary Identification System (BIS) TRAINING MODULE 1

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

Beneficiary Identification System Flow Find Beneficiary 3 Collect Individual Identificati on Trust/Insur Collect ance Family Company Identificat ion Approval Print Ayushman Bharat Card

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

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

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

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

Thank You 8

Additional Slides 9

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. 2 1 Arogya Mitra or Kiosk Operator will search a beneficiary name/family using different ways/parameters. 3 10 4 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. 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.

Beneficiary Identification System Flow in detail 5 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) 6 Record will be inserted into the database as a ‘silver’ record (yet to be approved) 7 11 Operator can provide and acknowledgement slip to the beneficiary. 8 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. 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.

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

The End 13