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Empowering Empanelled Hospitals Across India

Yojana Hospital Claims & Payout Governance Engine

Eliminate scheme claim deductions, automate multi-doctor payout statement distributions, and enforce zero-rejection governance for MJPJAY, PMJAY & Government Health Insurance.

NABH & Tally Integrated
Zero Rejection Guarantee
Multi-Doctor Split
Yojana Engine Live
Scheme Claims
₹4.82 Cr
↑ 99.4% Cleared
Doctor Payouts
₹1.35 Cr
128 Doctors
Audit Deduction
0.02%
Optimal
Recent Doctor Payout Statements Real-Time Sync
Dr. K. V. Sharma (Cardiology)
Case #MJPJAY-8821
MJPJAY ₹1,45,000 Verified
Dr. Sneha Kulkarni (Orthopedics)
Case #PMJAY-4029
PMJAY ₹2,10,000 Verified
Dr. R. N. Deshmukh (Oncology)
Case #SCHEME-9102
TRUST ₹98,500 Verified
Auto Doctor Breakdown
100% Multi-Doctor Accuracy
TRUSTED BY 100+ SUPER-SPECIALTY HOSPITALS & SCHEME NETWORKS
PMJAY Apex Care
MJPJAY Medicare
Apex HealthTrust
MediPay Shield
Global Scheme Care
Comprehensive Solutions

Next-Gen Governance Services

Tailored technological architecture built specifically for government scheme hospital claim validation, doctor payout splits, and financial compliance.

🤖

AI Agents

Autonomous claim audit agents that scan patient case sheets, ICD-10 coding, surgical procedure notes, and automatically flag potential rejection risks prior to portal submission.

Real-time claim rejection prediction
ICD-10 & scheme package auto-mapping
Automated query resolution prompts
⚙️

Workflow Automation

Streamline the entire lifecycle of Yojana claims from hospital admission approval, pre-authorization tracking, claim submission, to settlement verification and Tally posting.

Automated Pre-Auth & Portal Sync
Claim lifecycle status tracking
Tally ERP / Prime auto-voucher creation
☁️

Cloud Infrastructure

High-speed, HIPAA and NABH compliant cloud infrastructure designed to store hospital claim archives, audit logs, and encrypted payment registries with 99.9% uptime.

Encrypted cloud vault for case files
Role-based access control (RBAC)
Immutable audit trail logging
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Networking Solutions

Seamless secure API bridges connecting your internal Hospital Information System (HIS), TPA portals, government Yojana servers, and banking payout gateways.

Direct HIS / EMR API integration
Gov Scheme portal connectors
Bank payment gateway webhooks
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Custom Software Development

Custom doctor-wise payout statement generators, surgical team fee splitters, and scheme claim reconciliation dashboards engineered for your specific hospital rules.

Multi-Doctor payout calculators
Custom scheme deduction breakdown
Tailored hospital reporting suites
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Security & Governance

Enterprise-grade data security protocols preventing financial leakages, unauthorized payout edits, and guaranteeing total transparency between hospital management and doctors.

End-to-End bank grade encryption
Scheme compliance audit readiness
Dispute resolution audit trails
Unrivaled Advantages

Why Choose Our Engine?

Designed by healthcare financial experts and AI engineers to solve the most painful claim and payout challenges in scheme healthcare.

👨‍⚕️

Experienced Team

15+ years of specialized experience in medical billing, government scheme audits, and hospital financial software.

🛡️

Secure Solutions

Bank-grade 256-bit encryption ensuring hospital patient records and doctor payout agreements remain strictly private.

Fast Deployment

Go live within 48 hours with zero interruption to your existing hospital EMR or Tally accounting workflow.

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Scalable Architecture

Effortlessly scales from single daycare hospitals to multi-chain hospital networks processing 100k+ claims.

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Cost Effective

Reduces claim deduction losses by up to 40% and cuts administrative doctor payout processing time by 80%.

Our Legacy & Mission

Transforming Yojana Claims into Transparent Healthcare Payouts

Empanelled hospitals operating under government healthcare schemes like PMJAY and MJPJAY often face complex challenges: ambiguous claim deduction reports, delayed TPA reimbursements, and disputes over doctor payout calculations.

Our Yojana Hospital Claims & Payout Governance Engine was built to eliminate this chaos. By leveraging AI-driven parsing and multi-doctor allocation algorithms, we ensure every claim is submitted flawlessly and every doctor receives a transparent, verified payout statement.

🎯 Our Mission
To eliminate scheme claim rejections and empower hospital management with automated, dispute-free doctor payout governance.
👁️ Our Vision
To become the national standard AI governance layer for government health scheme settlements and clinical payouts.
10+
Years of Hospital Governance Leadership

Our team brings together healthcare informatics engineers, scheme audit accountants, and AI researchers dedicated to seamless financial operations.

Team Expertise Areas:
MJPJAY & PMJAY Scheme Rules Doctor Fee Split Automation Tally Prime XML Sync Surgical Package Coding AI Anomaly Detection Hospital Audit Compliance
Real World Case Study

Projects & Solution Success

See how our engine transformed Yojana hospital reporting and doctor payout statement generation in a major super-specialty hospital network.

Featured Case Study

Client Yojana Report to Dashboard Modernization

⚠️ Challenge: Common Report Bottlenecks
The hospital relied on a single "Common Report" for all government scheme claims. This created massive confusion: claims from different surgical teams and doctors were lumped together, leading to deduction ambiguity, delayed doctor payouts, and frequent internal disputes.
💡 Solution: Multi-Doctor Wise Report Engine
We implemented our AI-driven Multi-Doctor Wise Report parser. It automatically separates government scheme claim reimbursements by surgeon, anesthetist, assistant doctor, and hospital overheads based on custom pre-agreed percentage ratios.
🏆 Results: Claim Breakdown Doctor-Wise Payout Statement Generator
Instant automated generation of itemized Doctor-Wise Payout Statements. Claim deduction tracking per doctor dropped manual processing time by 85% and resulted in 100% doctor payout satisfaction.
Live Payout Statement Demo Interactive
Surgeon Net Payout Statement
₹49,700
Deduction: ₹8,000 | Anesthetist: ₹14,200 | Hospital: ₹78,100
Client Trust

What Hospital Directors Say

Hear from leading hospital CFOs, medical directors, and scheme administrators who rely on our governance engine.

★★★★★

"The Doctor-Wise Payout Statement Generator completely solved our internal surgeon dispute issues. Doctors now get itemized deduction reports linked to every MJPJAY scheme claim."

DR
Dr. Rajesh Deshmukh
Medical Director, Apex Super Specialty
★★★★★

"Earlier, analyzing government scheme claim deductions took 3 accountants full weeks. Now the AI Agent auto-flags discrepancies before submission. Our rejections fell to near zero."

SM
Sunita Mehta
Chief Financial Officer, Metro Care Hospitals
★★★★★

"Seamless Tally integration and automated multi-doctor report breakdown make this the single best software investment for any scheme empanelled hospital."

AP
Dr. Amit Patel
Head of Surgery & Scheme Trustee
250+
Projects Delivered
100+
Happy Empanelled Hospitals
99.9%
System Uptime
24/7
Expert Support
15+
AI Scheme Solutions
Transparent Plans

Scalable Governance Pricing

Flexible packages tailored for single daycare setups to multi-chain hospital networks.

Monthly Billing
Annual Billing Save 2 Months Off
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Ready to Transform Your Yojana Hospital Claims & Payout Governance Engine with AI?

Stop losing money on claim deductions and end doctor payout confusion today. Schedule a live demonstration with our scheme experts.

Get In Touch

Connect With Our Experts

Have questions about scheme integration, doctor payout statements, or pricing? We're here to help.

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Headquarter Office
Mitra Nagar, District Beed, MH 431122
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Direct Helpline
+91 (02442) 222-YOJANA / +91 7276537401
✉️
Official Email
support@shree.nowhere@gmail.com / contact@shreegisp@gmail.com
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