Ayushman Bharat PM-JAY / MJPJAY Claims Data

Ayushman Bharat PM-JAY / MJPJAY Claims Data

MH Specific

Health insurance claims data from the Pradhan Mantri Jan Arogya Yojana and Maharashtra's Mahatma Jyotiba Phule Jan Arogya Yojana

Build a healthcare utilization analytics platform for Maharashtra showing disease burden and treatment access patterns under PM-JAY/MJPJAY.
Homepage

Quick Start

# Download from https://pmjay.gov.in/
import pandas as pd
df = pd.read_csv('pmjay_claims.csv')
print(f'Total claims: {len(df)}')
print(df.groupby('Procedure')['Claims_Count'].sum().sort_values(ascending=False).head())
Modality
Tabular (dashboard)
Size
3.57 Cr+ claims nationally
License
Format
CSV
Language
en
Update Frequency
static
Organization
National Health Authority, Government of India

Schema

FieldTypeDescription
districtstringDistrict name in Maharashtra
hospitalstringHospital name
procedurestringMedical procedure name
claims_countintNumber of claims filed
amount_sanctionedfloatTotal sanctioned amount in Rs

Build With This

Create a hospital performance benchmarking system comparing treatment outcomes across Maharashtra empaneled hospitals
Develop a healthcare demand forecaster predicting future claim volumes by procedure type and district
Build a fraud detection model identifying anomalous claiming patterns across Maharashtra's health insurance schemes

AI Use Cases

Health expenditure analysisclaims fraud detectionhospital performance analytics
Last verified: 2026-03-07