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Date: 2026-05-09 Category: Press Release State: Union Government Country: India

National Health Authority Concludes AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 in Collaboration with IndiaAI Mission and IISc Bengaluru

Issued by Ministry of Health and Family Welfare · Not Applicable

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**Executive Summary** The National Health Authority (NHA) concluded the AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 on May 9, 2026, in collaboration with the IndiaAI Mission and IISc Bengaluru. The event recognized top AI-driven solutions designed to enhance the speed, transparency, and integrity of health claims adjudication under the Ayushman Bharat PM-JAY scheme. Winning teams received cash prizes up to ₹5 lakh and are being considered for potential collaboration and deployment within the national digital health ecosystem. **Key Points / Main Content** * **Hackathon Participation and Evaluation** * Over 3,500 participants, including startups, researchers, and technology professionals, registered for the competition. * An expert jury evaluated solutions based on innovation, scalability, and real-world applicability within healthcare claims workflows. * Top honors were awarded across three problem statements: Clinical Document Classification, Radiological Image-Based Detection, and Document Forgery/Deepfake Detection. * **Winning Solutions and Awardees** * **Clinical Document Classification:** Team Nirnaya won for an AI solution assessing compliance with Standard Treatment Guidelines (STGs). * **Radiological Interpretation:** Team BiltIQ AI secured first place for its AI-driven radiology interpretation and report correlation system. * **Fraud Detection:** Team Sopa Claims was recognized for its AI-based solution targeting document forgery and deepfake detection. * **Strategic Roundtable Deliberations** * **ABDM Enablement:** Discussions with large hospitals focused on accelerating the adoption of Ayushman Bharat Digital Mission (ABDM) building blocks, such as ABHA and consent-based record sharing. * **Health AI Foundation Models:** A dedicated roundtable explored the development of India-specific AI models using indigenous datasets and shared benchmarks to improve care quality. * **Standardization:** Emphasis was placed on adopting interoperability standards, including APIs and FHIR, to ensure seamless data exchange across the care continuum. * **Future Roadmap for Claims Adjudication** * Stakeholders highlighted the need for AI-assisted adjudication to provide clinical oversight and faster processing. * Discussions emphasized robust governance, data privacy safeguards, and secure digital infrastructure to prevent fraud, waste, and abuse. **Impact Analysis** **Winning Innovators and Startups** **Impact** They receive financial rewards and professional recognition for their technical solutions. They are positioned as key contributors to the national health technology infrastructure. **Action Required** Engage in potential collaboration with the NHA for the further development, validation, and large-scale deployment of their solutions. **Large Private and Institutional Hospitals** **Impact** Identified as "anchor institutions" for digital transformation, they are expected to lead in reducing administrative inefficiencies and improving patient onboarding through ABDM. **Action Required** Integrate ABDM core building blocks into existing systems and collaborate on a phased roadmap for digital health adoption. **National Health Authority (NHA) and Policymakers** **Impact** The event provides a pipeline of deployment-ready AI use cases to strengthen program integrity and reduce leakages in public health insurance. **Action Required** Establish validation and certification frameworks, define evaluation metrics for AI (accuracy and cost-effectiveness), and design sustainable procurement models. **Healthcare Technology Developers** **Impact** The focus on indigenous datasets and shared benchmarks provides a structured pathway for developing localized AI applications. **Action Required** Align development efforts with interoperability standards (APIs, FHIR) and the SAHI framework to ensure scalability within the Indian health ecosystem.

Key Entities Referenced

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY): India's flagship national public health insurance scheme for which AI-driven auto-adjudication and fraud prevention solutions are being developed. National Health Authority (NHA): The apex body responsible for implementing AB PM-JAY and leading the Ayushman Bharat Digital Mission (ABDM). Ayushman Bharat Digital Mission (ABDM): A national initiative to develop a digital health ecosystem through interoperable health records, digital registries, and the ABHA ID. IndiaAI Mission: A national-scale initiative collaborating with the NHA to foster innovation and deployment of AI solutions in the healthcare sector. SAHI framework: A referenced framework guiding the development of India-specific AI foundation models and applications for the health ecosystem.
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Ministry of Health and Family Welfare National Health Authority Concludes AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 in Collaboration with IndiaAI Mission and IISc Bengaluru Over 3,500 Participants Compete in AB PM-JAY Hackathon; Top Teams Selected by Expert Jury for Scalable, Real-World AI Solutions in Claims Adjudication Winning Teams Felicitated with Cash Awards up to ₹5 Lakh; NHA to Advance Collaboration for Scaling and Deployment of AI-Driven Solutions under AB PM-JAY High-Level Deliberations on Future of Claims Adjudication and AI-Driven Fraud Prevention Highlight Need for Secure, Transparent and Scalable Health Claims Ecosystems Strategic Roundtables on ABDM Enablement and India- Specific Health AI Foundation Models Highlight Roadmap for Interoperable and Scalable Digital Health Ecosystem Posted On: 09 MAY 2026 4:05PM by PIB Delhi The National Health Authority (NHA), under the Ministry of Health and Family Welfare (MoHFW), in collaboration with the IndiaAI Mission and the Indian Institute of Science (IISc), Bengaluru, today successfully concluded the AB PM-JAY Auto-Adjudication Hackathon Showcase 2026. The concluding day of the two-day national showcase marked the recognition of winning teams across three critical problem statements aimed at enhancing speed, transparency, accuracy, and programme integrity in health claims adjudication under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). The hackathon witnessed enthusiastic participation from innovators, startups, students, researchers, and technology professionals from across the country. More than 3,500 participants registered, with solutions rigorously evaluated by an expert jury comprising representatives from government, academia, healthcare, and technology sectors. The top three teams under each problem statement were selected based on innovation, scalability, and real-world applicability within healthcare claims workflows.Under the problem statement “Clinical Document Classification and Compliance with Standard Treatment Guidelines (STGs)”, Team Nirnaya, led by Vinay Babu Ulli, emerged as the winner for its AI-enabled solution for automated interpretation of healthcare claim documents and STG compliance assessment. The runner-up position was secured by Team Khushi Singh and Ronit from IIIT Gwalior for automated claims processing and document verification, while Team Vidal Health (Dr. Mukul Jain, Vijay Balaji, Aayush Derashree, Kartikeya Bhatnagar, Satvik Pathak, and Abhishek Sinha) secured the second runner-up position for its AI-based claims validation system. Under “Radiological Image-Based Condition Detection and Report Correlation”, Team BiltIQ AI, led by Harish Kumar, was declared the winner for its AI-driven radiology interpretation and report correlation solution. The runner-up position was secured by Team Kantaka Sodhana (Dr. Manohar Khandavalli, Lakshmi Narayana Cherukuri, Hambica Pedapudi, Bharath Varma Sangaraju, and Anudeep K) for solutions focused on automation and anomaly detection, while Team Arnold Sachith and Dr. Smitha Rao secured the second runner-up position for scalable AI solutions in healthcare systems. Under “Document Forgery / Deepfake Detection”, Team Sopa Claims, led by Praveen Sridhar and Snehal Joshi, emerged as the winner for its AI-based fraud detection solution. The runner-up position was secured by Team Forgensic from RGUKT-Nuzvid (Nikhileswara Rao Sulake, Sai Manikanta Eswar Machara, and Assistant Professor Shivlal Kethavath) for work in forensic AI and fraud detection, while Team Sushurutha Health AI (Bala Murali Krishna, Meghana Thota, and Sumanth Naidu Mathireddy) secured the second runner-up position for AI/ML-based insurance fraud detection solutions.Winners under each problem statement were awarded cash prizes of ₹5 lakh, ₹3 lakh, and ₹2 lakh for the winner, runner-up, and second runner-up positions, respectively. The winning teams will also be considered for potential collaboration with the National Health Authority for further development and deployment of their solutions within the AB PM-JAY ecosystem. The showcase also featured a high-level panel discussion on “Future of Claims Adjudication”, where experts from government, insurers, TPAs, healthcare providers, academia, and the technology ecosystem deliberated on the transformative role of Artificial Intelligence, Digital Public Infrastructure, and interoperable platforms. Discussions highlighted the growing importance of AI-assisted adjudication, automation, faster processing, transparency, auditability, clinical oversight, and scalable frameworks for public health insurance systems. Another panel discussion on “Fraud, Waste and Abuse in the Era of AI — Challenges and Opportunities” examined emerging risks such as forged documents, identity misuse, deepfakes, and fraudulent claims practices. Experts emphasized the need for robust AI-enabled fraud detection systems, strong governance frameworks, data privacy safeguards, responsible AI deployment, and secure digital infrastructure to strengthen programme integrity and reduce leakages.In addition to the hackathon showcase and panel discussions, two focused roundtable deliberations were convened to advance strategic collaboration within the digital health ecosystem. A “Roundtable with Large Hospitals for ABDM Enablement” brought together leading private and institutional hospital networks for a closed-door, solution-oriented dialogue with policymakers and the National Health Authority. The deliberations highlighted the pivotal role of large hospitals in accelerating the adoption of the Ayushman Bharat Digital Mission (ABDM), which aims to build a national digital health ecosystem based on interoperable, patient-centric, and efficient healthcare delivery. Participants were apprised of ABDM’s core building blocks—including ABHA, consent-based health record sharing, digital registries, and interoperable service and claims workflows—and engaged in detailed discussions on practical use-cases such as digital patient onboarding, continuity of care, and streamlined claims processing. The roundtable also served as a platform to understand institutional perspectives on technology integration, operational readiness, implementation models, and capacity requirements, while addressing key concerns relating to data privacy, cybersecurity, governance, and return on investment. Emphasis was laid on reducing administrative inefficiencies, strengthening revenue cycle management through standardised data exchange, and improving patient experience across the care continuum. The discussions further focused on identifying policy interventions, partnership models, and incentive structures required to accelerate adoption, while collaboratively charting a phased roadmap for large-scale participation by leading hospital groups as anchor institutions in India’s digital health transformation. A second roundtable on “Foundation Models and Applications for Indian Health AI Ecosystem” convened representatives from the National Health Authority, the IndiaAI Mission, Ministry of Health and Family Welfare, academia, industry, and AI innovators to deliberate on national-scale development and deployment of healthcare AI solutions. Anchored in NHA’s mandate of implementing AB PM-JAY and leading the Ayushman Bharat Digital Mission (ABDM), and guided by the SAHI framework, the roundtable explored pathways for advancing India-specific AI foundation models and applications to improve care quality and health outcomes. Discussions focused on identifying deployment-ready use cases in areas such as clinical decision support, public health analytics, and claims management, while also mapping gaps requiring further development. Participants deliberated on the need for indigenous datasets, shared benchmarks, and digital public infrastructure to enable scalable and interoperable AI adoption. Key themes included establishing robust validation and certification frameworks, defining evaluation metrics such as accuracy, cost-effectiveness, and turnaround time, and designing sustainable procurement and pricing models for AI-based solutions in government programmes.The roundtable also emphasised interoperability standards, including APIs and FHIR, integration with ABDM, and the creation of a structured pipeline—from innovation and grant-stage development to validation, procurement, and large-scale deployment. The deliberations culminated in identifying priority actions for ecosystem building, including collaborative development of datasets, enabling infrastructure, and institutional mechanisms to support responsible, secure, and scalable adoption of AI across India’s public health systems. Through this initiative, the National Health Authority reaffirms its commitment to leveraging responsible Artificial Intelligence and Digital Public Infrastructure to strengthen healthcare delivery, enhance efficiency in claims management, and build transparent, technology-driven public health systems under AB PM-JAY. ***** SR HFW- NHA Concludes AB PM-JAY Auto-Adjudication Hackathon Showcase 2026 /9th May 2026/1 (Release ID: 2259366) Visitor Counter : 314 Read this release in: Urdu , ही , Tamil , Kannada

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