1. Beneficiary Identification System (BIS)
TRAINING MODULE

2. Objective
HELPS VERIFY BENEFICIARIES FROM THE ENTITLED DATABASE AND CREATE AUTHENTICATED BENEFICIARY REGISTRY

3. Beneficiary Identification System Flow
Find Beneficiary
Collect
Individual
Identification
Collect Family
Identification
Trust/Insurance
Company
Approval
Print Ayushman
Bharat
Card

4. Beneficiary Identification System Process Flow
Potential
AB PM-JAY beneficiaries
Scoring Engine
Search/Compare against SECC
Submit PM Letter/
RC No/Mobile No/RSBY URN
Sent for Approval
Trust/Insurance Company
Arogya Mitra/Kiosk Operator
Search in BIS Application
Individual Identification
Family Identification
Recommended
For Rejection
Approved 1
Aadhaar KYC/Non Aadhaar 1
Ration Card
Enter Names of Family Members 2
Verify Mobile No 2
Upload Scanned Document
Upload Scanned Document 3 3
Entitled SECC Database
State Health Scheme Database
STATE
Entitled RSBY Database
Additional Data Collection Drive Database
Verified Beneficiary
(Golden record)
Ration Card verification PDS Dept.
Rejected
Approved

5. Add Member Functionality in BIS
Scoring Engine
Search/Compare against SECC
Sent for Approval
Trust/Insurance Company
Verified Beneficiary
(Golden record)
Individual Identification
Family Identification
Recommended
For Rejection
Approved
Aadhaar KYC/Non Aadhaar 1
Verified Beneficiary’s
Ration Card details
will populate
Search in BIS Application 1
Mobile Number/PM Letter/AB PM-JAY ID
Relationship Proof
With
Verified beneficiary
from the family 2
Verify Mobile No
No Need to upload Scanned Document
Upload Scanned Document 2 3
STATE
Rejected
Approved
Note: Validation process is same, as for a potential beneficiary

6. Role of Arogya Mitra in BIS
You are eyes and ears of Ayushman Bharat
Be Ethical
Make the beneficiary feel comfortable
Believe and record what you see 1 2 3 4
Be convinced about the authenticity of the beneficiary
Collect Individual and Family Identification
Fraud Detection & Prevention
Print Ayushman
Bharat Beneficiary Card 5 7 6 8

7. Beneficiary Identification System Preparedness
Computer with internet connection
Fingerprint scanner
Document scanner
Electricity Power backup
Portable webcam
Ensure setting up of necessary hardware and software at public/private hospitals

8. Thank You

9. Additional Slides

10. Beneficiary Identification System Flow in detail
A potential Beneficiary will visit either Hospital or a designated Kiosk (e.g. CSC or identified by SHA) for his/her identification.
Beneficiary needs to come with preferably Aadhaar Card or any other photo based individual Government ID like Voter ID card, PAN card etc. along with family ID like Ration Card. 1 2
Upon identification of beneficiary in BIS Application, beneficiary will be asked to submit either Aadhaar Number (preferable) or any Govt. ID card for individual identification/verification.
Arogya Mitra or Kiosk Operator will search a beneficiary name/family using different ways/parameters. 4 3

11. Beneficiary Identification System Flow in detail
Arogya Mitra or Kiosk Operator will perform an online authentication using Aadhaar or enter details in case of non-Aadhaar Identification and also validate beneficiary mobile number. A photo of the beneficiary will also be collected (in case of non- Aadhaar verification)
Beneficiary will also have to submit a proof of family ID card(Ration Card) for establishing his relation in the family. The operator will also scan the family card document submitted by the beneficiary. 5 6
The Operator then submits the ‘record’ to the Approving authorities for further verification and approval. There will be one Approving Authority either Insurance company/Trust as the case may be.
Record will be inserted into the database as a ‘silver’ record (yet to be approved)
Operator can provide and acknowledgement slip to the beneficiary. 7 8

12. Beneficiary Identification System Flow in detail
The record can then be approved or recommended for rejection by these authorities.
Application will return a ‘name match score’ and ‘family match ’ score, which are one of the criteria for approving/rejecting a record.
If it is recommended for rejection then Approving Authority will specify the reason and State approving authority will take final decision on the rejected records
Beneficiary will be informed through SMS accordingly.
Approved beneficiary record gets inserted into the AB-PMJAY database under a ‘verified’ beneficiary list.
This will get treated as a ‘golden’ record. The beneficiary will be informed through SMS accordingly. 9 10
Work-list feature for all the 3 user types – Arogya Mitra/Kiosk Operator, Insurance Approval officer, State Approval Officer.
Work-list will allow users to view the new/pending beneficiary application, as well as allow specific functions like ‘Approve’/’Reject’ with reasons.
The ‘rejected’ beneficiaries or duplicate cards found in any beneficiaries name/family are liable to be revoked/suspended. 12 11

13. The End