Beneficiary Identification System (BIS)

TRAINING MODULE
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. DEMO OF BIS
6. Q&A
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. DEMO OF BIS
6. Q&A
 OBJECTIVE

HELPS VERIFY BENEFICIARIES FROM THE ENTITLED DATABASE

AND CREATE AUTHENTICATED BENEFICIARY REGISTRY
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. DEMO OF BIS
6. Q&A
 High Level Flow

Collect Individual Collect Family Acknowledgment Insurer/Trust Print AB-NHPM

Find Beneficiary
Identification Identification to Beneficiary Approval CARD
 Beneficiary identification process
• A potential Beneficiary will visit either Hospital or a designated
Kiosk (e.g. CSC or identified by SHA) for his/her identification.
Step 1

• Beneficiary needs to come with preferably Aadhaar Card or any

other photo based individual Government ID like Voter ID card,
Step 2 PAN card etc. along with family ID like Ration Card.

• Ayushman Mitra or Kiosk Operator will search a beneficiary

name/family using different ways/parameters.
Step 3
 Beneficiary identification process
• Upon identification of beneficiary in BIS Application, beneficiary will be asked to submit
either Aadhaar Number (preferable) or any Govt. ID card for individual
Step 4 identification/verification.

• Ayushman 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
Step 5 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
Step 6 beneficiary.
 Beneficiary identification process
• Record will be inserted into the database as a ‘silver’ record (yet to be approved)
• Operator can provide and acknowledgement slip to the beneficiary.
Step 7

• 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.
Step 8
• 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
Step 9 approving authority will take final decision on the rejected records
• Beneficiary will be informed through SMS accordingly.
 Beneficiary identification process
• Approved beneficiary record gets inserted into the AB-NHPM database under a ‘verified’
beneficiary list.
• This will get treated as a ‘golden’ record. The beneficiary will be informed through SMS
Step 10 accordingly.

• The ‘rejected’ beneficiaries or duplicate cards found in any beneficiaries name/family are
liable to be revoked/suspended.
Step 11

• Work-list feature for all the 3 user types – Ayushman 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
Step 12 specific functions like ‘Approve’/’Reject’ with reasons.
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. DEMO OF BIS
6. Q&A
 Approval Process
• There can be one of the two approving authorities for each state –
‘Insurer’ level and ‘State Government officer’
• Multiple users for each approving authority will be created based on the
workload in the state.
• Allocation to each user will be on the round robin basis.
• Guidelines for approving/rejecting the beneficiaries will be framed and
will be made available to the users.
 Approval Process
• List of Silver Records will be available to the concerned approving users.
Such users will be required to approve/reject beneficiaries on first-come-
first-serve basis.
• On clicking, any record, SECC/RSBY data details and read/scanned
documents and matching scores will be made available to the approving
authority for comparison.
• In case of Rejection, it will be mandatory to specify the reason for
rejection.
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. DEMO OF BIS
6. Q&A
 BIS Workflow
Na
me

Potential
AB-NHPM
beneficiaries Mo
bil Verified AB-NHPM DB
e
(Golden record)
Submit PM Letter/ Ration
Card
RC No/Mobile
#/RSBY URN
Scoring Engine If Beneficiary
AB-NHPM Health Card Search/Compare application is Approving Authorities –
against SECC approved Insurer/State Officer

Collect Personal/
Arogya BIS Approval
Family Data
Mitra/Kiosk Application
Operator BIS Search Application

1 Aadhaar KYC

2 Verify Mobile No

State Scheme DB 3 Family Card No/

Entitled SECC Scanned Copy Ration Card
Family DB verification PDS
Entitled RSBY Additional Data
Family DB Collection Drive DB Dept.

RSBY Beneficiaries , which are not found in

SECC, will be given Card after passing through
a process.
 AGENDA
1. OBJECTIVES
2. BENEFICIARY IDENTIFICATION PROCESS
3. APPROVAL PROCESS
4. BIS WORK FLOW
5. EXPECTATIONS FROM SHA
6. DEMO OF BIS
7. Q&A
 Expectations from SHA

• Identification of Kiosk and/or engagement of CSC in the states

• Ensuring availability of required Hardware (Tablets, PCs, Devices etc.) and
Internet Connectivity at Hospitals and Kiosk.
• Training to the BIS Operators
• State are required to do due diligence that RSBY beneficiaries do not get
multiple cards one under RSBY database and one under SECC database.
• Monitoring of Beneficiary identification and e-card printing process
Q&A