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+{{htmlmetatags>metatag-keywords=(Ayushman Bharat RTI, PMJAY RTI, SHA, NHA, SECC 2011, health scheme RTI)
+metatag-description=(File RTI to **State Health Agency (SHA) / NHA**. Ask eligibility status, hospital pre-auth records, treatment claim status, reason for denial, projected release)}}
+====== Ayushman Bharat (PMJAY) claim denied — RTI ======
+{{ :social:auto:rti-for-ayushman-bharat-claim.png?direct&1200 }}
+{{page>snippets:dpdp-banner}}
+<WRAP info>**Direct answer.** File RTI to **State Health Agency (SHA) / NHA**. Ask eligibility status, hospital pre-auth records, treatment claim status, reason for denial, projected release.</WRAP>
+<WRAP collapse>
+===== Legal framework =====
+  * **Ayushman Bharat PMJAY Guidelines 2018**.
+  * **NFSA framework** — eligibility linkage.
+  * **SECC 2011** — beneficiary base.
+</WRAP>
+===== 5 questions to ask =====
+  - Eligibility (SECC-linked).
+  - Pre-auth records.
+  - Claim status.
+  - Denial reasons.
+  - Projected release.
+===== Template =====
+<code>
+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.
+</code>
+===== Common mistakes =====
+  * Filing only at hospital — file at **SHA + NHA**.
+  * Skipping **eligibility proof chain**.
+===== Case law anchors =====
+  * **CIC/NHA/A/2019/000234** — PMJAY status disclosable.
+  * **Right to Health jurisprudence** (SC).
+===== Pro tips =====
+  * Use **beneficiary.nha.gov.in** for status.
+  * Pair with **CM health-grievance cell**.
+===== FAQ =====
+  * **Q: Out-of-pocket payment — reimbursable?** In emergencies; RTI for policy.
+  * **Q: State-specific augmentation?** Many states add top-up; RTI for scheme.
+===== Related reading =====
+  * [[:rti-for-cghs-empanelment|CGHS RTI]]
+  * [[:file-rti-help|How to file an RTI]]
+===== Sources =====
+  - PMJAY Guidelines 2018. NFSA 2013. SECC 2011.
+//Last reviewed: 25 April 2026.//
+{{tag>rti for ayushman bharat claim citizen-rti rti-template}}

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