Lok Sabha Question No. 912 (UNSTARRED), answered on 2024-11-29
Subject: Ayushman Bharat Health Accounts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Khalilur Rahaman

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO: 912 TO BE ANSWERED ON 29.11.2024

## AYUSHMAN BHARAT HEALTH ACCOUNTS

## 912. SHRI KHALILUR RAHAMAN

Will the Minister of HEALTH and FAMILY WELFARE be pleased to state:

- (a) the details of the methodology adopted for data collection and storage under the Ayushman Bharat Health Account (ABHA);

(b) the details of Government/Non-Government entities that have access to data collected as part of the scheme;

- (c) whether the people registering on COWIN for vaccines were automatically registered for the ABHAand if so, the reasons therefor along with the number of people registered;

(d) whether such registration included informed consent and if so, the details thereof and if not, the reasons therefor; and

(e) the number of people registered for ABHA till date, State/UT-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) to (e) ABHA, that stands for Ayushman Bharat Health Account is a 14-digit random number and a unique identifier for each individual participating in the national digital health ecosystem. It is one of the three registries (other being the Health Professional Registry and the Health Facility Registry) being created under the Ayushman Bharat Digital Mission (ABDM), which aims to enable interoperability of health data within the health ecosystem. The aim of ABDM is to enable creation of Electronic Health Records (EHRs) for every citizen and their secure and seamless sharing among the healthcare providers to provide quality and accessible healthcare.

ABHAenables interaction of citizens with participating healthcare providers, and allows them to receive their health records, including their digital lab reports, prescriptions and diagnosis, seamlessly from verified healthcare professionals and health service providers.

For creating an ABHA, demographic details (such as name, gender, date of birth etc) of the individual are required. These details are taken from KYC documents (presently via Aadhaar or driving license) which are submitted by the user. These details are then duly authenticated via multiple modes such as Aadhaar OTP/biometric/face/ demographic or at authorized facilities. Prior consent of the users is obtained before creating their ABHA. ABHA can be generated by users through the websites, mobile applications, digital solutions, government programmes etc. integrated with ABDM. The above demographic details in the ABHA registries are stored in a secure manner by the NHA. It is necessary for these details to be stored centrally because they are essential to provide interoperability, trust, and identification and single source of truth across different digital health systems.

'Privacy by design' is one of the key guiding principles of ABDM and implemented following the principles of federated digital architecture. There is, therefore, no centralised repository of health records. ABDM facilitates secure data exchange between the intended stakeholders on ABDM network after the patient's consent. Through ABDM enabled applications, patients will also be able to securely store their digital health records on their devices, securely access their records online, and securely share their health records with healthcare providers after their consent.

The Information Technology Act 2000 along with policies and guidelines including but not limited to Health Data Management Policy, Sandbox Guidelines etc. published by ABDM from time to time lay down the regulatory and policy framework for the regulation of ABDM.

As mentioned above, only demographic details of the individual are collected as part of the scheme. No data of patient's health records are collected by ABDM. The demographic details, collected and stored in ABHA are made available to the government and private entities who have integrated with ABDM only after receiving the patient's consent. The list of entities which have been integrated with ABDM are listed in Annexure 1.

Further, details in respect of point (c) and (d) -

Creation of ABHA is voluntary. Thus, people who registered on CoWIN were not automatically registered for ABHA. 12,97,96,728 ABHAs have been created through the CoWIN portal till Nov 24, 2024.

ABHAs have been created for those beneficiaries enrolled through CoWIN platform who have provided Aadhaar as the ID proof at the vaccination site only after taking their consent through the vaccinator.

The total number of ABHA created till 23 rd November, 2024 is 68,65,84,586 . The state-wise details are tabulated below in Annexure 2. It is to mention that this data does not include the ABHAs corresponding to the above states from 1,23,51,811 ABHA numbers (earlier Health IDs). The data (state) against these ABHA numbers has not been populated as state and district fields were not mandatory fields during ABHA creation through demographic authentication. In September, 2023, the state and district fields have been made mandatory.

|   S No | Entity Name                                          | Organization Type   |
|--------|------------------------------------------------------|---------------------|
|      1 | Aarogyasri Health Care Trust                         | Public              |
|      2 | CDAC Mohali (eSanjeevani HWC and eSanjeevani OPD)    | Public              |
|      3 | CDAC Noida (e-Sushrut AIIMS)                         | Public              |
|      4 | Central TB Division,MoHFW                            | Public              |
|      5 | Centre for Development of Advanced Computing, Mohali | Public              |
|      6 | CGHS                                                 | Public              |
|      7 | CSC e Governance Services India Limited              | Public              |
|      8 | Department of health and Family welfare Nagaland     | Public              |
|      9 | Department of health and family welfare Sikkim       | Public              |
|     10 | Digicare Healthcare Solutions Private Limited        | Public              |
|     11 | Directorate of Health Services family welfare Assam  | Public              |
|     12 | Directorate of Health Services Manipur               | Public              |
|     13 | Directorate of Health Services Meghalaya             | Public              |
|     14 | eHealth Kerala Project Management Unit               | Public              |
|     15 | eManas Karnataka                                     | Public              |
|     16 | EMPLOYEE STATE INSURANCE CORPORATION                 | Public              |
|     17 | Government of Rajasthan - CHIP                       | Public              |
|     18 | Government of Rajasthan - iHMS                       | Public              |
|     19 | Government of Uttar Pradesh - eKavach                | Public              |
|     20 | Government of Uttar Pradesh - UDSP                   | Public              |
|     21 | Govt of Uttarakhand                                  | Public              |
|     22 | Haryana State Health Resource Centre                 | Public              |
|     23 | Health Department DNH&amp;DD Type                | Public              |
|     24 | Health Department Govt of Uttrakhand                 | Public              |
|     25 | Jan Swasthya Sahyog                                  | Public              |
|     26 | Ministry of AYUSH                                    | Public              |
|     27 | MoHfW (sickle Cell)                                  | Public              |
|     28 | National e-Governance Division (Digilocker)          | Public              |
|     29 | National Health Authority (PMJAY)                    | Public              |
|     30 | National Health Mission Tamil Nadu                   | Public              |
|     31 | National Health Mission, Andhra Pradesh              | Public              |
|     32 | National Health Mission, SHS, Nagrota, Jammu, J&K    | Public              |
|     33 | National Health Systems Resource Centre              | Public              |
|     34 | NATIONAL INSURANCE COMPANYLIMITED                    | Public              |
|     35 | National Viral Hepatitis Control Program(NVHCP)      | Public              |
|     36 | NEC Software Solutions India                         | Public              |
|     37 | NIC eHospital                                        | Public              |
|     38 | NIC ( Aarogya Setu )                                 | Public              |
|     39 | NIC ( NextGen )                                      | Public              |
|     40 | NIC (Sickle Cell)                                    | Public              |
|     41 | Non Communicable Disease Program, MoHFW              | Public              |

|   42 | Pradhan Mantri National Dialysis Programme                     | Public   |
|------|----------------------------------------------------------------|----------|
|   43 | Protean eGov Technologies Limited                              | Public   |
|   44 | RCH MoHFW                                                      | Public   |
|   45 | Sheri-Kashmir Institute of Medical Sciences (SKIMS)            | Public   |
|   46 | Swasthya Ingit, Department of Health and Family Welfare (GoWB) | Public   |
|   47 | TECHO_GUJARAT                                                  | Public   |
|   48 | TeleICU Karnataka                                              | Public   |
|   49 | The Oriental Insurance Company Ltd                             | Public   |
|   50 | United India Insurance Company                                 | Public   |
|   51 | UP EMRI Equal                                                  | Public   |
|   52 | UT OF DNH DD PUBLIC HEALTH MANAGEMENTPORTAL                    | Public   |
|   53 | UWIN                                                           | Public   |
|   54 | West Bengal Health and Family Welfare                          | Public   |
|   55 | 4P Healthcare                                                  | Private  |
|   56 | ABIHEALTH TECHNOLOGIES PRIVATE LIMITED                         | Private  |
|   57 | Achala Health Services Private Limited                         | Private  |
|   58 | Acko General Insurance Limited                                 | Private  |
|   59 | Adhyanshi Enterprises                                          | Private  |
|   60 | Aditya Birla Health Insurance Co Ltd                           | Private  |
|   61 | Aditya Birla Sun Life Insurance Company Limited                | Private  |
|   62 | ADVANCE DIGITAL SOLUTIONS INDIA PRIVATE LIMITED                | Private  |
|   63 | Akhil Systems Pvt Ltd                                          | Private  |
|   64 | Ala Care                                                       | Private  |
|   65 | Ambula Technologies Private Limited                            | Private  |
|   66 | AMOGH NSMPTECH PRIVATE LIMITED                                 | Private  |
|   67 | Amrita Technologies                                            | Private  |
|   68 | Anahat Solutions Pvt Ltd                                       | Private  |
|   69 | Apex Kidney Care Pvt Ltd                                       | Private  |
|   70 | Apollo Hospitals Enterprise Ltd                                | Private  |
|   71 | Appex Tech Innovation                                          | Private  |
|   72 | Artem HealthTech Private Limited                               | Private  |
|   73 | ARTIVATIC DATALABS PRIVATE LIMITED                             | Private  |
|   74 | Arupavi Health Technologies Pvt Ltd                            | Private  |
|   75 | ASMI GLOBAL SOFTWARES OPC PRIVATE LIMITED                      | Private  |
|   76 | ASUUN WELLNESS PRIVATE LIMITED                                 | Private  |
|   77 | Athlex Innovations Private Limited                             | Private  |
|   78 | ATHMAHEALTHTECH PRIVATE LIMITED                                | Private  |
|   79 | Bajaj Allianz Insurance Company LTD                            | Private  |
|   80 | Bajaj Finserv Health                                           | Private  |
|   81 | BeH Private Limited                                            | Private  |
|   82 | BelfricsBT Pvt Ltd                                             | Private  |
|   83 | Bharuwa Solutions Private Limited                              | Private  |
|   84 | Blue Pearl Health Tech PvtLtd                                  | Private  |

|   85 | Byepo Technologies pvt ltd                             | Private   |
|------|--------------------------------------------------------|-----------|
|   86 | CAARE Healthtech Services Pvt. Ltd.                    | Private   |
|   87 | CARDIOMETCARE PLUS HEALTH SOLUTIONS PRIVATE LIMITED    | Private   |
|   88 | care health insurance                                  | Private   |
|   89 | CENTRAL INDIA ASSOCIATES                               | Private   |
|   90 | Chipsy Information Technology Services Private Limited | Private   |
|   91 | Cholamandalam MS General Insurance Company Ltd         | Private   |
|   92 | Cloud Pathology ( Connection Loops )                   | Private   |
|   93 | Copious Healthcare India Pvt Ltd                       | Private   |
|   94 | Curelink Private Limited                               | Private   |
|   95 | Dataman Computer Systems Pvt Ltd                       | Private   |
|   96 | Davadost Pharma Private Limited                        | Private   |
|   97 | DHANUSH HEALTHCARE SYSTEMS PVT LTD                     | Private   |
|   98 | Digisparsh Private Limited                             | Private   |
|   99 | DocOn Technologies Pvt Ltd                             | Private   |
|  100 | DocPrime Technologies Private Limited                  | Private   |
|  101 | Docterz Healthtech Labs Pvt Ltd                        | Private   |
|  102 | Dr Lal Pathlabs Ltd                                    | Private   |
|  103 | DRCFO MANAGEMENT CONSULTANTS PRIVATE LIMITED           | Private   |
|  104 | Driefcase Healthtech Private Limited                   | Private   |
|  105 | Driefcase Healthtech Pvt Ltd                           | Private   |
|  106 | DROME SERVICES PRIVATE LIMITED                         | Private   |
|  107 | Drucare Pvt Ltd                                        | Private   |
|  108 | East West Assist Insurance Tpa Private Limited         | Private   |
|  109 | Eclinical India Private Limited                        | Private   |
|  110 | eClinical India Pvt Ltd                                | Private   |
|  111 | eGovernments Foundation                                | Private   |
|  112 | Entro Labs IT Solutions Pvt Ltd                        | Private   |
|  113 | Equal                                                  | Private   |
|  114 | Eva Soft Private Limited                               | Private   |
|  115 | eVaidya Private Limited                                | Private   |
|  116 | Family Health Insurance TPA Limited                    | Private   |
|  117 | Farmako Healthcare Private Limited                     | Private   |
|  118 | Fingoole Technologies Private Limited                  | Private   |
|  119 | Fortis Healthcare Limited                              | Private   |
|  120 | Future Generali India insurance Company Limites        | Private   |
|  121 | Genins India Insurance TPA Limited                     | Private   |
|  122 | GHVAdvanced Care Private Limited                       | Private   |
|  123 | Go Digit General Insurance Ltd                         | Private   |
|  124 | HDFC Ergo General Insurance Company Limited            | Private   |
|  125 | HealthATM India Pvt Ltd                                | Private   |
|  126 | Healthica Digisol Private Limited                      | Private   |
|  127 | HealthPlix Technologies Private Limited                | Private   |

|   128 | HEALTHRAY TECHNOLOGIES PRIVATE LIMITED            | Private   |
|-------|---------------------------------------------------|-----------|
|   129 | Healthvalors Technosoft Private Limited           | Private   |
|   130 | HERITAGE HEALTH INSURANCE TPA PRIVATE LIMITED     | Private   |
|   131 | Hitachi MGRMNet Limited                           | Private   |
|   132 | HLL Lifecare Limited                              | Private   |
|   133 | Hodo Medical Informatic Solutions Private Limited | Private   |
|   134 | ICICI Lombard General Insurance Co Ltd            | Private   |
|   135 | ICICI Prudential Life Insurance Co Ltd            | Private   |
|   136 | IHX                                               | Private   |
|   137 | India Health Link Private Limited                 | Private   |
|   138 | InformDS Technologies Private Limited             | Private   |
|   139 | IPLit Solutions LLP                               | Private   |
|   140 | IQVIA                                             | Private   |
|   141 | ITDOSE Infosystems Pvt. Ltd.                      | Private   |
|   142 | ITSC Technologies Pvt Ltd                         | Private   |
|   143 | Jdeanz Healthtech Pvt Ltd                         | Private   |
|   144 | JUPITER LIFELINE HOSPITALS LIMITED                | Private   |
|   145 | KareXpert Technologies Pvt Ltd                    | Private   |
|   146 | KareXpert Technologies Pvt Ltd Prod 1             | Private   |
|   147 | KareXpert Technologies Pvt Ltd Prod 2             | Private   |
|   148 | Karkinos Healthcare Private Limited               | Private   |
|   149 | Kotak Mahindra General Insurance Company Limited  | Private   |
|   150 | Kotak Mahindra Life Insurance Company Ltd         | Private   |
|   151 | kulcare India Private Limited                     | Private   |
|   152 | LetsDoc Healthcare Technologies Pvt Ltd           | Private   |
|   153 | Liberty General Insurance Limited                 | Private   |
|   154 | LiveHealth (Creliant Software Pvt. Ltd.)          | Private   |
|   155 | LIVLONG PROTECTION AND WELLNESS SOLUTIONS LTD     | Private   |
|   156 | Magma HDI General Insurance Company Limited       | Private   |
|   157 | ManipalCigna Health Insurance Company Limited     | Private   |
|   158 | Manitechnest Solutions LLP                        | Private   |
|   159 | Manorama Infosolutions Pvt Ltd                    | Private   |
|   160 | Marg ERPLtd                                       | Private   |
|   161 | MarSha Health                                     | Private   |
|   162 | Max Life Insurance Company Limited                | Private   |
|   163 | MDIndia Health Insurance TPA Pvt Ltd              | Private   |
|   164 | Medblocks                                         | Private   |
|   165 | Medi Assist Insurance TPA Pvt Ltd                 | Private   |
|   166 | MediBuddy (Phasorz Technologies)                  | Private   |
|   167 | MedicalMine India Private Limted                  | Private   |
|   168 | Medionce Solutions Private Limited                | Private   |
|   169 | Medongo Health Private Limited                    | Private   |
|   170 | Medsave Health Insurence TPALimited               | Private   |

|   171 | Medsynaptic Pvt Ltd                                                                            | Private   |
|-------|------------------------------------------------------------------------------------------------|-----------|
|   172 | Merago Software Technologies Private Limited                                                   | Private   |
|   173 | MINDGENIX PRIVATE LTD                                                                          | Private   |
|   174 | Mswasth Tech Pvt Ltd                                                                           | Private   |
|   175 | MYHEALTHCARE TECHNOLOGIES PRIVATE LIMITED                                                      | Private   |
|   176 | Narayana Hrudayalaya Limited                                                                   | Private   |
|   177 | Navi General Insurance Limited                                                                 | Private   |
|   178 | Neodocs Healthcare Pvt Ltd                                                                     | Private   |
|   179 | Nephrocare Health Services Pvt Ltd                                                             | Private   |
|   180 | Neuralbits Technologies Pvt Ltd                                                                | Private   |
|   181 | Neurobit Innovations Pvt Ltd                                                                   | Private   |
|   182 | NICE-HMS                                                                                       | Private   |
|   183 | NICT Technologies Pvt. Ltd.                                                                    | Private   |
|   184 | Niva Bupa Health Insurance Company Limited                                                     | Private   |
|   185 | Oakland Systems pvt led                                                                        | Private   |
|   186 | Orbi Health Private Limited                                                                    | Private   |
|   187 | PanScience AI Healthcare Private Limited                                                       | Private   |
|   188 | Paperplane Communications Private Limited                                                      | Private   |
|   189 | Paramount health Service and Insurance TPA Pvt Ltd                                             | Private   |
|   190 | Paytm                                                                                          | Private   |
|   191 | Piramal Swasthya Management and Research Institute                                             | Private   |
|   192 | Plus91 Technologies Private Limited                                                            | Private   |
|   193 | PlusNinetyOne Technologies Private Limited                                                     | Private   |
|   194 | Practo                                                                                         | Private   |
|   195 | PRUDAS TECHNOLOGIES PRIVATE LIMITED                                                            | Private   |
|   196 | RACLOOP Technologies Pvt. Ltd.                                                                 | Private   |
|   197 | Raheja Qbe General Insurance Company Limited                                                   | Private   |
|   198 | Raxa Health                                                                                    | Private   |
|   199 | REDKENKO HEALTH TECH PRIVATE LIMITED                                                           | Private   |
|   200 | Reliance Digital Health Limited                                                                | Private   |
|   201 | Reliance General Insurance                                                                     | Private   |
|   202 | Rely Technologies Private Limited                                                              | Private   |
|   203 | RENATUS MEDITECH SOLUTIONS PRIVATE LIMITED                                                     | Private   |
|   204 | Roojh India Private Limited                                                                    | Private   |
|   205 | Royal Sundaram General Insurance                                                               | Private   |
|   206 | S2 Infotech International Limited                                                              | Private   |
|   207 | Safeway Insurance TPAPvt Ltd                                                                   | Private   |
|   208 | SBI General Insurance Company Limited                                                          | Private   |
|   209 | SEHATPRO TECHNOLOGIES PRIVATE LIMITED                                                          | Private   |
|   210 | Shrimad Rajchandra Hospital and Research Centre (Unit of Shrimad Rajchandra Sarvamangal Trust) | Private   |
|   211 | SHRIRAM GENERAL INSURANCE COMPANY LTD                                                          | Private   |
|   212 | SMARTHMS AND SOLUTIONS PRIVATE LIMITED                                                         | Private   |

|   213 | Society for Health Information & Systems Programmes   | Private   |
|-------|-------------------------------------------------------|-----------|
|   214 | SOFTCURE TECHNOLOGY LLP                               | Private   |
|   215 | Sri Kauvery Medical Care (India) Limited,             | Private   |
|   216 | SRI LAXMI KRAVIA TECHLABS PRIVATE LIMITED             | Private   |
|   217 | SRIT India Private Limited                            | Private   |
|   218 | SRL LIMITED                                           | Private   |
|   219 | SSIVIX Labs India Private Limited                     | Private   |
|   220 | Star Health And Allied Insurance Company Limited      | Private   |
|   221 | Sufalam Solutions Pvt Ltd                             | Private   |
|   222 | SUVARNATECHNOSOFT PRIVATE LIMITED                     | Private   |
|   223 | SwingBell Labs                                        | Private   |
|   224 | Tata AIA life insurance                               | Private   |
|   225 | TATAAIG General Insurance Co Ltd                      | Private   |
|   226 | Tata Medical and Diagnostics                          | Private   |
|   227 | THE NEW INDIAASSURANCE COMPANYLTD                     | Private   |
|   228 | Third Ai Platforms Private Limited                    | Private   |
|   229 | Thoughtworks Technologies India Pvt Ltd               | Private   |
|   230 | Timestream Technologies Private Limited               | Private   |
|   231 | Tricog Health India Private Limited                   | Private   |
|   232 | Universal Sompo General Insurance Company Limited     | Private   |
|   233 | VANBUREN TECHNOLOGIES PRIVATE LIMITED                 | Private   |
|   234 | Verraton Health Private Limited                       | Private   |
|   235 | Vesak technologies private limited                    | Private   |
|   236 | Vidal Health Insurance TPA Pvt Ltd                    | Private   |
|   237 | Vigorus Healthtech Private Limited                    | Private   |
|   238 | Vitraya Technologies                                  | Private   |
|   239 | Yro Systems Private Limited                           | Private   |
|   240 | Zealthix Technologies Private Limited                 | Private   |
|   241 | Zuno General Insurance Limited                        | Private   |

|   Sr. no | State/UT         | ABHAs Created   |
|----------|------------------|-----------------|
|        1 | Uttar Pradesh    | 12,63,15,112    |
|        2 | Maharashtra      | 5,54,04,261     |
|        3 | Madhya Pradesh   | 4,70,24,154     |
|        4 | Gujarat          | 4,65,87,322     |
|        5 | Rajasthan        | 4,46,34,400     |
|        6 | Andhra Pradesh   | 4,18,86,946     |
|        7 | Bihar            | 3,96,70,742     |
|        8 | West Bengal      | 3,59,45,756     |
|        9 | Karnataka        | 3,04,62,418     |
|       10 | Odisha           | 2,65,19,589     |
|       11 | Chhattisgarh     | 2,23,13,830     |
|       12 | Telangana        | 2,19,58,435     |
|       13 | Assam            | 1,92,60,730     |
|       14 | Kerala           | 1,79,75,376     |
|       15 | Haryana          | 1,50,74,493     |
|       16 | Jharkhand        | 1,40,83,168     |
|       17 | Tamil Nadu       | 1,38,28,086     |
|       18 | Punjab           | 1,35,27,922     |
|       19 | JammuAnd Kashmir | 90,81,355       |
|       20 | Delhi            | 85,19,072       |
|       21 | Uttarakhand      | 68,97,659       |
|       22 | Himachal Pradesh | 60,43,109       |
|       23 | Tripura          | 22,46,053       |
|       24 | Meghalaya        | 12,36,466       |
|       25 | Puducherry       | 11,37,870       |
|       26 | Manipur          | 9,36,308        |

|   27 | Goa                       | 8,67,964   |
|------|---------------------------|------------|
|   28 | Chandigarh                | 8,41,540   |
|   29 | DNHDD                     | 8,25,040   |
|   30 | Nagaland                  | 7,23,883   |
|   31 | Mizoram                   | 6,46,257   |
|   32 | Andaman AndNicobarIslands | 4,46,115   |
|   33 | Sikkim                    | 4,29,968   |
|   34 | Arunachal Pradesh         | 3,89,375   |
|   35 | Ladakh                    | 3,87,005   |
|   36 | Lakshadweep               | 1,04,996   |