Pradhan Mantri Jan Arogya Yojana (PM-JAY) empanelment process : Softcure Hospital Software
The Pradhan Mantri Jan Arogya Yojana (PM-JAY) is a flagship government-funded health scheme launched in 2018.
The empanelment of healthcare providers under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana requires strict adherence to digital health standards set by the Ayushman Bharat Digital Mission. One of the key requirements is the use of ABDM-compliant hospital management software to ensure seamless data exchange, transparency, and efficient patient care.
ABDM-compliant software enables healthcare facilities to generate and link ABHA ID, maintain electronic health records (EHR), and integrate with national digital health infrastructure. This ensures real-time verification of beneficiaries, paperless transactions, and improved claim processing under PM-JAY.
The adoption of such software also enhances interoperability between hospitals, insurers, and government systems, reducing fraud and administrative delays. It supports standardized data formats, secure consent-based data sharing, and improved patient outcomes through continuity of care.
For hospitals seeking PM-JAY empanelment, implementing ABDM-compliant software is not just a regulatory requirement but a step toward modern, digital healthcare delivery aligned with India’s vision of a unified health ecosystem.
ABDM-compliant hospital management systems enable integration with the national digital health ecosystem, allowing facilities to create and manage ABHA ID, maintain structured Electronic Health Records (EHR), and ensure real-time data exchange. This significantly improves claim processing, reduces paperwork, and minimizes errors in beneficiary verification.
Pradhan Mantri Jan Arogya Yojana (PM-JAY) empanelment process : Softcure Hospital Software
Key Aspects of the Mandate
Mandatory Compliance: The requirement is rapidly shifting from voluntary to mandatory, especially for private empanelled hospitals, with states like Rajasthan leading this adoption.
ABDM-Certified HMS: Hospitals must adopt Hospital Management Information Systems (HMIS) or HIS solutions that are certified by ABDM, enabling them to create ABHA (Ayushman Bharat Health Account) numbers for patients.
NHCX Integration: The National Health Claims Exchange (NHCX) now requires hospitals to submit claims directly through ABDM-enabled pathways, moving away from manual portals.
Phased Implementation: ABDM compliance is structured across milestones (M1, M2, M3), requiring hospitals to upgrade their systems to allow secure, consent-based sharing of patient health records.
Digital Incentive: While compliance is mandatory, the government offers incentives through the Digital Health Incentive Scheme (DHIS) for early adoption of these systems.
Key feature of ABDM Compliant Hospital Software
Creation & Verification of ABHA Card
Access control to ABHA/PHR App with ABHA Address
Notification to App for Data Linking & Generation
Make OPD tokens via HIP QR code
Access & Discover Health Record via PHR App
Manage consents for allowing the Hospital/Doctors to access your record accross the facilities
- Softcure Pro is certified for ABDM's M1, M2, and M3
- ABHA & ABDM Compliant Hospital Software
- India's 1st NABH-Certified HIS-B system
- Softcure Pro Certification No. DH-HIS-B-2025-0001 Dated: 13th May 2025 | HIS-Basic
- To submit claims directly through ABDM-enabled pathways, moving away from manual portals
- Enables seamless, paperless, and faster claim settlement, reducing operational costs
- * Integration is in Developmement Phase
Commitment of TMS Integration with NHCX by Softcure Development Team
Direct Integration with PMJAY , MAA-J & with other Private TPAs will build a robust, scalable, and compliant digital infrastructure that will support interoperability and standardized data exchange.The Softcure Development Team is committed to delivering seamless integration of its TMS (Transaction Management System) with the National Health Authority’s National Health Claims Exchange platform. This integration is a strategic step towards enabling standardized, transparent, and efficient digital health claim processing across healthcare providers and payers.
By aligning with the NHCX framework, Softcure ensures that its TMS supports real-time claims exchange, interoperability, and compliance with Ayushman Bharat Digital Mission guidelines. The integration will facilitate faster claim adjudication, reduced manual intervention, and improved accuracy in healthcare transactions.
Our development team is focused on building a secure, scalable, and fully compliant solution that enhances operational efficiency for hospitals, TPAs, and insurance providers. With robust API integration, data standardization, and consent-based information exchange, Softcure aims to empower healthcare institutions with a future-ready digital ecosystem.
This commitment reflects Softcure’s vision to support India’s digital health transformation and strengthen the healthcare claims infrastructure through innovation, reliability, and compliance.
Softcure Development Team
https://www.softcure.in
Softcure Technology LLP
Dial: 96757 11122, 96756 11122
support@softcure.in
Ayushman Bharat Health Account (ABHA)
ABHA Address
ABHA (Ayushman Bharat Health Account) is a unique identifier (self-declared username) that enables you to share and access your health records digitally. Your ABHA address may look like ‘yourname@consent manager’.For instance, xyz@abdm is an ABHA address with ABDM Consent Manager that will streamline health data exchange for you with appropriate consent on the ABDM network.
ABHA Number
ABHA Number will uniquely identify you as a participant in India’s digital healthcare ecosystem. ABHA is a 14-digit personalized number that harbours the identity of people, their authenticity, and health records seamlessly.
Compliances & Certificates
