NHA Recognizes AI Solutions for Healthcare Claims Processing
The National Health Authority (NHA) concluded the Auto-Adjudication Hackathon Showcase 2026 on Saturday at the Indian Institute of Science in Bengaluru, awarding cash prizes to teams that built AI systems for processing insurance claims and detecting fraud within India's largest health scheme.
The hackathon, organized with the IndiaAI Mission and IISc Bengaluru, attracted 3,500 registrations and more than 600 participants attending masterclasses. The competition focused on three specific problems: classifying clinical documents against treatment guidelines, analyzing radiological images, and detecting forged medical records.
Three Categories, Three Winners
Clinical Document Classification: Team Nirnaya, led by Vinay Babu Ulli, won the top prize for building a system that reads healthcare claim documents and verifies they comply with established treatment protocols. The runner-up and second runner-up positions went to teams from IIIT Gwalior and Vidal Health, respectively.
Radiological Image Analysis: Team BiltIQ AI, led by Harish Kumar, took first place for developing an AI system that interprets radiology images and correlates them with clinical reports. Team Kantaka Sodhana finished second.
Document Forgery Detection: Team Sopa Claims, led by Praveen Sridhar and Snehal Joshi, won for creating AI tools to identify forged medical documents and deepfakes. Teams Forgensic and Sushurutha Health AI placed second and third.
Prizes and Deployment Path
Winners received cash prizes of ₹5 lakh, ₹3 lakh, and ₹2 lakh for first, second, and third place respectively. The NHA said it will consider selected solutions for deployment within the Ayushman Bharat PM-JAY scheme, which processes roughly 50,000 claims daily across more than 1,900 treatment packages.
For IT and development professionals, these solutions address real operational constraints: claims adjudication speed, document verification accuracy, and fraud prevention in a high-volume system. The hackathon output demonstrates how specific AI applications solve defined business problems rather than general-purpose tools.
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