Check karo: (1) Insurance page par claim bana hai; (2) us claim ka '🤖 AI Generate' kholkar 'TPA:' me sahi TPA chuna aur '🔁 Regenerate' ya '✓ Mark Approved' dabaya; (3) claim isi mahine bana — purane mahine ka claim History me us mahine ke card me aata hai. 'TPA:' list me sirf 11 TPA hain (MediAssist, Star Health, Bajaj Allianz, ICICI Lombard, HDFC ERGO, Family Health Plan (FHPL), Health India TPA, Vidal Health, Paramount Health, MD India, Vipul MedCorp) — PMJAY nahi. Isi wajah se PMJAY par target rakhne se 'Under target' badge aur 11 AM alert (agar chalu ho) har mahine aa sakte hain, bina asli kami ke.
Empanelment tracker me Cases aur Claimed 0 kyu dikh rahe hain?
Tracker sirf Billing → Insurance & RGHS → Insurance ke claims ginta hai, aur wo bhi tab jab web par us claim ke '🤖 AI Generate' drawer me 'TPA:' list se wahi TPA chuna gaya ho ('🔁 Regenerate', '✓ Mark Approved' ya '📤 Submit to TPA' par TPA claim par lag jaata hai). RGHS / CGHS ke bill aur Govt Schemes page ke claim yahan nahi ginte, isliye PMJAY ya khud jodi scheme ki row hamesha 0 dikhayegi.
Where in ORALZY: Billing → Insurance & RGHS → Empanelment → Empanelment & Quota · Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Insurance & RGHS → Insurance → Claims me claim dhoondho
- Row ka '🤖 AI Generate' kholo
- 'TPA:' me sahi TPA chuno aur '🔁 Regenerate' ya '✓ Mark Approved' dabao
- Empanelment → Current Month dobara kholo — us TPA ki row me claim gin jaayega