CGHS empanelled hospital denied treatment — RTI route?

Yes — and this is a multi-front RTI exercise because hospital-CGHS payment disputes can't be your problem under CGHS rules.

File RTI to:

1. Additional Director, CGHS in your city — asking (a) status of pending dues to Hospital X, (b) date of last payment, (c) reason for any delay, (d) action-taken on similar complaints in past 6 months 2. MoHFW CPIO — copy of OM/circular on hospital's right to refuse cashless treatment for CGHS beneficiary (spoiler: empanelled hospitals cannot refuse for non-payment of CGHS dues — it's between CGHS and the hospital) 3. Hospital empanelment cell — copy of the empanelment agreement + obligations on cashless treatment

In parallel — escalate to the Joint Director (CGHS) at city level and copy the Additional Secretary, MoHFW. The RTI gives you written ammunition for the escalation.

Guide: https://righttoinformation.wiki/cghs-rti-empanelled-hospital-denial Healthcare RTI playbook: https://righttoinformation.wiki/healthcare-rti-india

Chapter 11 of The RTI Playbook walks through 4 actual CGHS denial cases that were resolved with this combo.

Important emergency tip — if denial is during a medical emergency, document EVERYTHING (call recording, paper denial). CGHS rules require empanelled hospitals to provide emergency care irrespective of dues. That's a clear regulatory breach.

Also include the AIIMS Director / Lok Sabha Secretariat in CC if your father is a pensioner of central govt. Pressure point because CGHS reports to MoHFW which is sensitive to MP queries.

Yes — and this is a multi-front RTI exercise because hospital-CGHS payment disputes can't be your problem under CGHS rules.

File RTI to:

1. Additional Director, CGHS in your city — asking (a) status of pending dues to Hospital X, (b) date of last payment, (c) reason for any delay, (d) action-taken on similar complaints in past 6 months 2. MoHFW CPIO — copy of OM/circular on hospital's right to refuse cashless treatment for CGHS beneficiary (spoiler: empanelled hospitals cannot refuse for non-payment of CGHS dues — it's between CGHS and the hospital) 3. Hospital empanelment cell — copy of the empanelment agreement + obligations on cashless treatment

In parallel — escalate to the Joint Director (CGHS) at city level and copy the Additional Secretary, MoHFW. The RTI gives you written ammunition for the escalation.

Guide: https://righttoinformation.wiki/cghs-rti-empanelled-hospital-denial Healthcare RTI playbook: https://righttoinformation.wiki/healthcare-rti-india

Chapter 11 of The RTI Playbook walks through 4 actual CGHS denial cases that were resolved with this combo.

Important emergency tip — if denial is during a medical emergency, document EVERYTHING (call recording, paper denial). CGHS rules require empanelled hospitals to provide emergency care irrespective of dues. That's a clear regulatory breach.

Also include the AIIMS Director / Lok Sabha Secretariat in CC if your father is a pensioner of central govt. Pressure point because CGHS reports to MoHFW which is sensitive to MP queries.