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Table 5 Timeliness of processing provider payments

From: The trust and insurance models of healthcare purchasing in the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana in India: early findings from case studies of two states

Pre-authorization

Uttar Pradesh

(n = 27,068)

Jharkhand

(n = 46,011)

Median TAT (all cases requiring approval)

3 h 15 min

5 h 5 min

Percentage cases in which TAT exceeds 6 h

33.7%

45.7%

Cases exceeding 6 h that are system approved

29.4%

81.6%

Claim Processing

Uttar Pradesh

(n = 44,931)

Jharkhand

(n = 91,780)

Median overall TAT

32 days

15 days

Proportion of claims wherein overall TAT exceeds the state guideline

52.5%

44.7%