**Executive Summary**
The IndiaAI Mission, National Health Authority (NHA), and Indian Institute of Science (IISc) Bengaluru conducted the AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 on May 9, 2026. The initiative recognized nine innovators for developing AI solutions to enhance the speed, transparency, and accuracy of health insurance claims management. Selected solutions focusing on document classification, radiological validation, and fraud detection may be integrated into the AB PM-JAY ecosystem.
**Key Points / Main Content**
**Event Overview and Objectives**
* The event marked the conclusion of a two-day national showcase of AI-driven innovation in public health insurance.
* The hackathon aimed to transform the adjudication of claims for AB PM-JAY, which manages over 1,900 treatment packages.
* Primary goals included strengthening fraud detection and improving the efficiency of the claims adjudication process.
**Problem Statements and Solutions**
* **Clinical Document Classification & STG Compliance:** Focused on automatically reading mixed-quality documents and ensuring compliance with NHA Standard Treatment Guidelines (STG).
* **Radiological Image-Based Condition Detection:** Involved validating X-rays, CT scans, and MRIs to correlate image evidence with medical reports for accurate claim adjudication.
* **Document Forgery & Deepfake Detection:** Targeted the detection of tampered discharge summaries, manipulated bills, ghost identities, and AI-generated artefacts at the point of submission.
**Award Recognition**
* Nine innovators were felicitated across three categories by senior officials from NHA, MeitY, and the National Testing Agency.
* Winning teams were awarded cash prizes of ₹5 Lakh for first place, ₹3 Lakh for runners-up, and ₹2 Lakh for second runners-up.
**Impact Analysis**
**Winning Innovators**
**Impact**
Recipients gained national recognition for pioneering AI solutions and received cash incentives ranging from ₹2 Lakh to ₹5 Lakh.
**Action Required**
Prepare for potential collaboration with health authorities if their solutions are selected for full-scale deployment.
**National Health Authority (NHA)**
**Impact**
The NHA identified high-potential AI tools to automate complex adjudication tasks and mitigate fraud within one of the world's largest health assurance programs.
**Action Required**
Review and consider the selected AI solutions for future deployment and integration within the AB PM-JAY ecosystem.
**The IndiaAI Mission and IISc Bengaluru**
**Impact**
Successfully facilitated a collaborative platform between government and academia to drive technological innovation in public health.
**Action Required**
Continue monitoring the transition of these AI solutions from hackathon prototypes to functional tools for public service.
Key Entities Referenced
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY): India’s flagship public health assurance scheme and the primary focus for which AI-driven claim adjudication solutions were developed.
National Health Authority (NHA): The apex body responsible for implementing AB PM-JAY and the primary organizer of the innovation hackathon.
IndiaAI Mission: A national initiative under the Ministry of Electronics and IT that collaborated to foster AI innovation in public health insurance.
AB PM-JAY Auto-Adjudication Hackathon: An initiative launched to develop AI-driven solutions for improving the speed, transparency, and fraud detection of health insurance claims.
Ministry of Electronics & IT
IndiaAI Mission and NHA Felicitate Winners of
AB PM-JAY Auto-Adjudication Hackathon
Showcase 2026
Nine innovators recognised for pioneering AI solutions in
health claims management at IISc Bengaluru
Posted On: 13 MAY 2026 2:11PM by PIB Delhi
The IndiaAI Mission in collaboration with the National Health Authority (NHA) and the Indian Institute
of Science (IISc), Bengaluru, felicitated the winners of the AB PM-JAY Auto-Adjudication Hackathon
Showcase 2026 at IISc Bengaluru on May 9, 2026, marking the conclusion of a two-day national
showcase of AI-driven innovation in public health insurance.
Organised in collaboration with the NHA and IISc Bengaluru, the hackathon focused on developing
solutions to improve speed, transparency and accuracy in claims adjudication, while strengthening fraud
detection as well.
Shri Sunil Kumar Barnwal, CEO, National Health Authority; Shri Abhishek Singh, Director General,
National Testing Agency, Ms. Jyoti Yadav, Joint Secretary, NHA and Ms. Shikha Dahiya, Joint Director,
MeitY, felicitated innovators whose solutions have the potential to transform AI-driven adjudication of
claims.
The hackathon invited solutions across three high-impact problem statements critical to the adjudicationof claims under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY), one of the world's
largest publicly funded health assurance programmes. AB PM-JAY processes a large number of claims
daily across 1,900+ treatment packages.
Hackathon Winners
Problem Statement 1: Clinical Document Classification & STG Compliance
Automatically reading mixed-quality healthcare documents, extracting key data, detecting mandatory
visual elements and checking compliance with Standard Treatment Guidelines (STG) provided by NHA.
Winner: Shri Vinay Babu Ulli
Runner-Up: Ms. Khushi Singh
Second Runner-Up: Shri Vijay Balaji
Problem Statement 2: Radiological Image-Based Condition Detection & Report Correlation
Validating image-based investigations such as X-rays, CT scans and MRIs submitted as evidence under
STGs, comparing them with reports to adjudicate claims accurately and efficiently.
Winner: Shri Harish Kumar
Runner-Up: Shri Bharath Varma Sangaraju
Second Runner-Up: Shri Arnold Sachith
Problem Statement 3: Document Forgery & Deepfake Detection
Detecting forged or synthetically generated documents including tampered discharge summaries,
manipulated bills, ghost identities and AI-generated artefacts at the point of claim submission.
Winner: Shri Praveen Sridhar
Runner-Up: Shri Nikhileswara Rao Sulake
Second Runner-Up: Shri Sumanth Naidu Mathireddy
Winning teams received cash prizes of ₹5 Lakh, ₹3 Lakh and ₹2 Lakh, respectively. Officials said
selected solutions could be considered for future deployment within the AB PM-JAY ecosystem.
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