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TPA / Insurance Claims

PMJAY / CGHS / ECHS

L.K. Monu Borkala, Founder, OneCity Technologies · Published May 2026 · Last reviewed 14 July 2026

Government health scheme management: PMJAY package rates, CGHS/ECHS empanelment, pre-auth, claim submission, and scheme-wise analytics.

Screenshot slot — drop the live ERP capture for "PMJAY / CGHS / ECHS" in /public/shots/tpa-insurance-claims-pmjay-cghs.png

Key fields

  • PMJAY package master with HBP codes
  • CGHS rate list mapping
  • ECHS procedure rate mapping
  • Scheme eligibility verification

Workflow

  1. 01Verify Scheme Eligibility
  2. 02Map Treatment to Package
  3. 03Submit Pre-Auth
  4. 04Treat Patient
Compliance coverage for PMJAY / CGHS / ECHS

Compliance

  • PMJAY / NHA
  • CGHS
  • ECHS

Every OneCity module ties into the same shared patient record and compliance tracking, not a separate silo. For how this fits your broader accreditation planning, see our guide to NABH accreditation software. If you are still working out rollout timing, our guide to realistic ERP implementation timelines covers how modules like this one typically get sequenced. Pricing for this module is included from the Starter tier upward — see the full pricing breakdown, or the complete module list for how it fits alongside everything else.

Related reading

TPA / Insurance Claims overviewInsurance & TPA ProcessingNHCX Claims ExchangePatient Registration (ABHA / UHID)Appointment & QueueOPD / ConsultationPricing

External references

More in TPA / Insurance Claims

Pre-AuthorisationClaim Submission & SettlementInsurance & TPA ProcessingNHCX Claims Exchange All of TPA / Insurance Claims →

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