Fraud Control and Management. a. The insurer is expected to have the capability of develop a comprehensive fraud control system for the scheme which shall at the minimum include regular monitoring, data analytics, ecards audit, medical audit, field investigation, hospital audit, corrective action etc It shall comply with provisions of PMJAY Anti-Fraud Guidelines and Advisories as issued time to time.
Appears in 2 contracts
Samples: orientalinsurance.org.in, pmjay.gov.in
Fraud Control and Management. a. 18.1 The insurer is expected to Insurer should have the capability of develop developing a comprehensive fraud control system for the scheme Scheme which shall at the minimum include regular monitoring, data analytics, ecards e-cards audit, medical audit, field investigation, hospital audit, corrective action etc etc. It shall comply with the provisions of PMJAY Anti-Fraud Guidelines and Advisories as issued by the SHA from time to time.
Appears in 1 contract
Samples: nagaland.gov.in
Fraud Control and Management. a. 19.1 The insurer is expected to Insurer should have the capability of develop developing a comprehensive fraud control system for the scheme Scheme which shall at the minimum include regular monitoring, data analytics, ecards e-cards audit, medical audit, field investigation, hospital audit, corrective action etc etc. It shall comply with the provisions of PMJAY Anti-Fraud Guidelines and Advisories as issued by the SHA from time to time.
Appears in 1 contract
Samples: cmhis.nagaland.gov.in
Fraud Control and Management. a. The insurer is expected to have the capability of develop a comprehensive fraud control system for the scheme which shall at the minimum include regular monitoring, data analytics, ecards audit, medical audit, field investigation, hospital audit, corrective action etc etc. It shall comply with provisions of PMJAY PMJAY, MA and MAV Anti-Fraud Guidelines and Advisories as issued time to time.
Appears in 1 contract
Samples: orientalinsurance.org.in
