Ayushman Bharat (PMJAY) claim denied — RTI

1. Eligibility (SECC-linked).
2. Pre-auth records.
3. Claim status.
4. Denial reasons.
5. Projected release.

To: The Public Information Officer, State Health Authority
Subject: Application under §6 RTI Act 2005 — PMJAY claim status

My PMJAY beneficiary ID [..] claim [..] is pending/denied. Please furnish (1) eligibility, (2) pre-auth, (3) claim status, (4) denial reasons, (5) projected release.

Fee: Rs.10 by IPO/cash.

• Filing only at hospital — file at SHA + NHA.
• Skipping eligibility proof chain.

• CIC/NHA/A/2019/000234 — PMJAY status disclosable.
• Right to Health jurisprudence (SC).

• Use beneficiary.nha.gov.in for status.
• Pair with CM health-grievance cell.

• Q: Out-of-pocket payment — reimbursable? In emergencies; RTI for policy.
• Q: State-specific augmentation? Many states add top-up; RTI for scheme.

• CGHS RTI
• How to file an RTI

1. PMJAY Guidelines 2018. NFSA 2013. SECC 2011.

Last reviewed: 25 April 2026.