NHA's AB PM-JAY Hackathon 2026 Aims to Automate 50,000 Daily Health Claims

The National Health Authority is organizing the AB PM-JAY Auto-Adjudication Hackathon 2026 to develop innovative solutions for automating the processing of nearly 50,000 daily health insurance claims. The initiative seeks scalable, AI-powered systems to improve speed, accuracy, and fraud detection beyond the current 15-20% auto-adjudication rate. With over 2,600 registrants already, the hackathon will feature masterclasses and culminate in a finale at the Indian Institute of Science, Bengaluru in May 2026. Winning teams stand to gain significant cash prizes and potential collaboration opportunities with the NHA to future-proof India's digital health infrastructure.

Key Points: AB PM-JAY Auto-Adjudication Hackathon 2026 for Digital Health

  • 2,600+ participants already registered
  • Aims to scale auto-adjudication beyond current 15-20%
  • Offers cash prizes up to Rs 5 lakh
  • Finale at Indian Institute of Science, Bengaluru
  • Seeks package-agnostic, scalable solutions
2 min read

National Health Authority invites innovators to join AB PM-JAY auto-adjudication Hackathon 2026

National Health Authority invites innovators to join the AB PM-JAY Hackathon 2026 to build AI-driven solutions for automating health claim processing.

"Leveraging automation, AI-based fraud detection... can help fully digitise claims processing - Ministry of Health Release"

New Delhi, April 13

The Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana, the flagship health assurance scheme implemented by the National Health Authority under the Ministry of Health and Family Welfare, is driving digital health transformation in India, processing nearly 50,000 claims daily across 1,900+ treatment packages.

According to an official press release issued by the Ministry of Health and Family Welfare, at this scale, speed, accuracy and compliance in claims adjudication are critical. While 15-20% of claims are currently auto-adjudicated, the need for a scalable, package-agnostic solution remains significant.

Given the volume and complexity of claims, there is a growing need for an advanced auto-adjudication system capable of handling diverse treatments and document formats. Leveraging automation, AI-based fraud detection, standardised documentation and real-time verification can help fully digitise claims processing while delivering faster, more consistent and transparent outcomes, a release said.

The AB PM-JAY Auto-Adjudication Hackathon aims to catalyse innovative digital solutions that seamlessly integrate with the existing AB PM-JAY infrastructure, reduce manual effort, accelerate processing timelines, and build a scalable, future-ready adjudication framework for the entire ecosystem.

The National Health Authority (NHA) has received an enthusiastic response to the AB PM-JAY Auto-Adjudication Hackathon 2026, with 2,600+ participants registered so far from across the country.

Interested students, researchers, developers, professionals, startups and innovators can register till 13 April 2026 through the official portal.

As per the release, to support participants in understanding the challenge statements and identifying potential solution pathways, NHA will organise a special three-part Masterclass Series commencing on 13 April 2026. The sessions will offer valuable insights into the claims adjudication ecosystem, key expectations from the hackathon, and emerging opportunities for innovation in digital health.

The hackathon will culminate in a two-day offline finale on 8-9 May 2026 at the prestigious Indian Institute of Science, Bengaluru, where winning teams will present their solutions before an eminent jury comprising leaders from healthcare, technology and public policy. Winners will also receive attractive cash prizes of Rs 5 lakh, Rs 3 lakh and Rs 2 lakh for each problem statement, along with an opportunity for potential collaboration with NHA.

Through this hackathon, NHA reaffirms its commitment to fostering innovation and collaboration to build future-ready digital health systems that enhance efficiency, strengthen transparency, and improve healthcare delivery for beneficiaries and providers alike.

- ANI

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Reader Comments

S
Sarah B
As a tech professional, I'm thrilled to see the government actively seeking innovation from the public. The scale is massive - 50k claims daily! The AI-based fraud detection part is crucial to protect the scheme's funds. Great move by NHA.
P
Priya S
While the hackathon is a good step, I hope the focus remains on ground reality. In my village, the hospital staff still struggle with basic digital entries. Any solution must be simple for semi-literate users and work with poor internet. Jai Hind!
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Rohit P
2600+ participants already! The energy is amazing. The cash prizes are decent but the real prize is contributing to a system that serves the poor. My college team is registering today. Let's build for Bharat!
K
Karthik V
Transparency is key. If AI can reduce human intervention in claims, it will cut down corruption and delays significantly. Hope the selected solutions are implemented quickly and not just remain as prototypes. The masterclass series is a helpful touch.
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Meera T
A respectful criticism: The article mentions "package-agnostic" solution. This is vital. Earlier, tech solutions failed because they were too rigid. Hope the innovators design for India's diverse healthcare landscape, from metro hospitals to PHCs. Good luck to all!

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