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SchemeFinder

Which scheme covers this patient for this procedure.

Offered in: India only.
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What it is

Eligibility screening across PM-JAY, state schemes, CGHS/ESI and hospital charity funds for a given patient and procedure — surfaced at estimate time, not after billing.

Who uses it
Built for: Every specialty
Reads
Patient record, packages
Writes
Eligibility results
Never
It does not guarantee coverage — it shows criteria met and documents needed.
Access
Only people whose role includes it — the clinic owner decides who
Your data
PHI-lite. Hosted in Boston, United States. On uninstall: All clinical data stays in the record; operational history stays queryable.

How it works

  1. Pick the patient and askWho pays for this? takes the patient and the procedure in plain words — ‘cataract surgery, right eye’ — and answers from what this clinic actually holds.
  2. Read what the clinic knows about themWhat this clinic actually knows about this patient lists the Ayushman beneficiary records and panel verifications on file, each with how and when it was recorded and whether it is verified.
  3. Take the empty answer seriouslyA patient with no membership record gets no candidates and a note saying why the list is empty, because the service never infers a membership from anything.
  4. Check the basis on every candidateEach candidate says covered or not covered as loudly as the other, carries the rule’s note, and prints the record it rested on — which card, verified how and when.
  5. Correct the rules for your stateCoverage rules lists the keyword rules with their verdict and priority; add or correct one and the answer above follows it immediately, because these are starting points rather than law.

Rules it keeps

What it does not do, by design. A listing with only benefits is an advertisement.

It does not guarantee coverage — it shows criteria met and documents needed.

AI in SchemeFinder

AskQuestions about what is on screen — “What needs attention in SchemeFinder today?” — answered with the records it read.
DraftSummaries and notes for the team, marked as drafts until a person signs.
Every answer shows its sources. Nothing AI writes is saved until a person accepts it.

See it on screen

Live product
01Scheme Finder — Find which scheme covers this patient’s treatmentCaptured from the running demo clinic
SchemeFinder — Scheme Finder — Find which scheme covers this patient’s treatment
1 of 1

Connected to

Read out of the code, not the brochure: each app below is here because one service queries the other’s tables. Install either side and the hand-over is already wired.

See the whole clinic →

Questions clinics ask

What does SchemeFinder do?
Which scheme covers this patient for this procedure. Eligibility screening across PM-JAY, state schemes, CGHS/ESI and hospital charity funds for a given patient and procedure — surfaced at estimate time, not after billing.
What data does SchemeFinder read and write?
SchemeFinder reads patient record, packages and writes eligibility results. Its data class is PHI-lite. Every app works on the same patient record — nothing is copied into a silo.
What does SchemeFinder deliberately not do?
It does not guarantee coverage — it shows criteria met and documents needed.
What happens to our data if we uninstall SchemeFinder?
All clinical data stays in the record; operational history stays queryable.
Is SchemeFinder available today?
Yes — SchemeFinder is live in clinics today. Set up your practice on MedAppz and install it from your dashboard.
Where is SchemeFinder offered?
SchemeFinder is offered in India only: it is built on that market's own systems and rules.

Want to see SchemeFinder running on your own patients?

Tell us what you run and we will show you this app inside a practice shaped like yours — or answer the question the page above did not.

We use your name, phone number and clinic name for one thing: to answer this enquiry about MedAppz. It is stored on our own server, in the single region our trust centre names, and it is not sold or passed to anyone else.

Email us

You can withdraw either at any time: write to hello@medappz.com, or tell whoever calls you, and we will delete what you gave us.

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