Coverage attaches to the institution
Post-2024 standardisation, AYUSH inpatient treatment is broadly covered — when delivered in facilities meeting the policy’s criteria: registration, bed strength, qualified practitioners. The claim is won or lost on your registrations, not on the therapy.
Inpatient logic still applies
Coverage is for admissions, and admissions must justify themselves: why inpatient, what protocol, what daily record. Wellness stays dressed as treatment fail; documented therapeutic admissions with daily notes pass.
| Item | Standard | Consequence / owner |
|---|---|---|
| Institutional registration | Current certificate on file | Attach with every claim |
| Practitioner qualifications | Registration numbers documented | Standing annexure |
| Admission justification | Inpatient indication stated | Treating practitioner note |
| Daily therapy record | Session log with times | Ward file |
| Discharge protocol | Outcome and advice recorded | Summary |
The documentation set differs
Practitioner registration numbers, therapy session logs, and institutional certificates travel with AYUSH claims in a way allopathic files don’t require. Assemble the standing set once; attach it always.
What to do on Monday
- Compile the standing institutional annexure this week.
- Add inpatient-indication language to the AYUSH admission note.
- Log therapy sessions with times, not just dates.
Worked examples on this page are illustrative arithmetic on stated assumptions, not measured market statistics.