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GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1081
TOBE ANSWERED ON24THJULY,2026
TIMELYTREATMENTANDREIMBURSEMENTOFCLAIMS
1081.SHRIDAGGUMALLAPRASADARAO:
Will the Minister of HEALTHANDFAMILYWELFARE be pleased tostate:
(a) the number of hospitals empanelled under the Central Government Health Scheme, State-
wise anddistrict-wise for Andhra Pradesh;
(b) the number of treatment requests received and approved in the country since its inception,
year-wise,State-wise anddistrict-wise for Andhra Pradesh;
(c) the number of claims submitted and compensation released, State-wise and district-wise
for Andhra Pradesh;
(d) the number of hospitals submitting reimbursement claims, State-wise and district-wise for
Andhra Pradesh,alongwith the number of claimsreimbursed;
(e)whether delayshave beenobserved inclaimprocessing, approvalor reimbursement;
(f) if so, the average time taken, the number of delayed claims, reasons for delay and
correctivemeasures undertaken bythe Government inthisregard,State-wise;and
(g) whether there is a monitoring and grievance redressal mechanism established by the
Government toensure timely treatmentandreimbursement,if so, the details thereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a)to(g) The number of Health Care Organizations (HCOs) empaneled under various
Offices of Additional Director, Central Government Health Scheme (CGHS) across the country
isattachedat Annexure-1.
Further, the District wise detailsof empaneledHCOs inAndhra-Pradesh are at Annexure-2.Reimbursement of medical claims in case of serving beneficiaries are done through
respective administrative departments/Ministries. The reimbursement of medical claims in case
of pensioner beneficiaries are done by CGHS. Details of expenditure made under Pensioner and
Other RetirementBenefits (PORB) headinlast five yearsby CGHS isat Annexure-3.
Beneficiaries can track the status of their Medical Reimbursement Claims online through
the CGHS web portal as well as the MyCGHS 2.0 Mobile App using the Claim ID generated at
the time of submission of the claim.
CGHS has created dedicated digital dashboards within the CGHS HMIS module to track
Medical Reimbursement Claim (MRC) cases and grievances among others. Access to these
dashboards is given to all Additional Directors, CMO I/c at Wellness Centers, and other
stakeholderstomonitoroverall progress, totalclaims, andaverage processing days, etc.
Further, CGHS hasthe following mechanism tolodge a grievance:
CGHS Grievance Portal
CPGRAMS
Toll-Free Helpline & Email: For direct assistance, beneficiaries can call the toll-free
numberor write tothe helpdesk at cghs-helpdesk@lsmgr.nic.in
Local Committees and Complaint Boxes: Physical Complaint boxes are available at
Wellness Centers, and issues can also be raised during regular meetings of Local
Advisory Committees(LAC) andZonalAdvisory Committees (ZAC).ANNEXURE-1
NUMBEROFHOSPITALS EMPANELLEDUNDER OFFICES OFADDITIONAL
DIRECTORS, CGHS ACROSS THE COUNTRY
S.No. Office of AdditionalDirector, CGHS No. of empaneledHCOs
1. Ahmedabad 47
2. Bangalore 60
3. Bhopal 84
4. Bhubaneswar 12
5. Chandigarh 171
6. Chennai 65
7. Dehradun 43
8. Delhi NCR 924
9. Guwahati 18
10. Hyderabad 128
11. Jabalpur 57
12. Jaipur 151
13. Kanpur 72
14. Kolkata 57
15. Lucknow 86
16. Meerut 60
17. Mumbai 102
18. Nagpur 101
19. Patna 51
20. Prayagraj 92
21. Pune 49
22. Ranchi 31
23. Shillong 08
24. Trivandrum 37ANNEXURE-2
District wise detailsof empaneledHCOs in Andhra-Pradesh
Districts in No. of empaneled
Andhra Pradesh HCOs
East Godavari 03
Guntur 03
Krishna 02
NTR 11
Sri Potti Sriramulu 05
Nellore
Tirupati 02
Vishakhapatnam 20
Total 46ANNEXURE-3
DETAILSOFEXPENDITURE MADE UNDERPENSIONER AND OTHER
RETIREMENTBENEFITS (PORB) HEAD IN LASTFIVE YEARS BYCGHS
Year PORB Expenditure (₹In Crore)
2021-22 2741.17
2022-23 4630.68
2023-24 4282.72
2024-25 5645.97
2025-26 6144.17
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