The Aarogya Mitra is the primary contact for the beneficiaries at every Empanelled Health Care Providers

• The Aarogya Mitra shall be responsible for focusing on three broad areas


1. Operating the "Beneficiary Identification System" to identify and verify the beneficiaries entitled under AB-PMJAY.
2. Undertaking "Transaction Management" such as submitting requests for Pre-Authorization and Claims.
3. Guiding the Beneficiary about the overall benefits under AB-PMJAY and providing information about receiving prompt treatment at Empanelled Health Care Providers.

• Collects the Aadhaar Card, Family ID Card or any other Government ID Card from the beneficiary.
• Searches name, verifies names based on Govt ID card, authenticate beneficiary, take a photo and establishes beneficiary relation with the family
• Aarogya Mitra receives family and individual match scores; record is saved as ‘Silver Record’ and a provisional card generated
• Records submitted to verifying authority; once approved, record is saved as ‘Golden Record’
• Aarogya Mitra will then print the AB-PMJAY e-Card as “Golden Record” and give it to the beneficiary

• Provide all the necessary assistance and details about the scheme; help locate facilities and guide a patient
• Collect, scan and upload all the necessary documents for pre-authorization.
• Liaison with the EHCP for timely admission and availability of bed to patient
• Liaison and coordinate with the Medical officer for collecting, scanning and uploading all the necessary documents required for submitting claim request.
• Verify discharge summary and follow-up details to the discharged beneficiaries
• Bring all grievances to the notice of Grievance Cell.
• Track and report refund of any investigation amount collected in contravention to the Guidelines
• Report any irregularities or inadequacy noticed