NEW DELHI: The Centre on Friday showcased new AI-based systems that can help detect fake hospital bills, forged medical papers and fraud under the Ayushman Bharat health insurance scheme.
Hackathon and Organisers
The tools were presented during the AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 organised by the Union health ministry, National Health Authority (NHA), IndiaAI Mission and IISc Bengaluru.
Objectives of AI Systems
Officials said the AI systems are aimed at reducing fraud, speeding up insurance claim settlements and improving transparency under Ayushman Bharat PM-JAY.
Multilingual OCR Systems
The showcased technologies included multilingual OCR systems that can scan and classify medical documents, extract data from low-quality records and verify compliance with standard treatment guidelines.
Image Analysis Tools
Another set of AI tools demonstrated the ability to analyse X-rays, CT scans and MRIs to help verify diagnoses and treatment claims submitted by hospitals.
Fraud Detection Models
Teams also presented AI models capable of identifying forged discharge summaries, manipulated billing records, ghost beneficiaries and deepfake-generated medical documents used in fraudulent claims.
India's Leadership in Health AI
NHA CEO Dr. Sunil Kumar Barnwal said India was among the first countries in the Global South to develop a health AI benchmarking platform using India-specific datasets.
Impact on Claims System
Officials said the initiative aims to build a faster and more transparent digital claims system while reducing manual workload in the government’s flagship health insurance programme.
About the Author: Anuja Jaiswal is a Senior Assistant Editor at The Times of India, with an impressive 18-year career in narrative journalism. She specializes in health and heritage reporting, expertly simplifying complex health information to make it engaging and understandable for readers. Her deep dives into heritage topics are well-researched, resulting in captivating narratives that resonate with her audience. Over the years, she has worked in Chandigarh, Chhattisgarh and West UP, gaining diverse on-ground experience that shapes her storytelling.
