Important: Use current CGHS instructions for the beneficiary category and case. Contribution, documents and service routes can change.

What you need

Keep the CGHS beneficiary ID and the claim number/Claim ID generated when the reimbursement claim was submitted.

Where status can be checked

The National Government Services Portal currently lists a fully online CGHS reimbursement-claim status service. The myCGHS app also supports checking medical reimbursement claim status.

What to compare

Match the claim number, submission date, claimant/beneficiary, treatment period and amount claimed with your acknowledgement. This helps detect whether you are tracking the correct claim.

If the claim is returned for deficiency

Read the exact deficiency rather than resubmitting the same file. Add only the missing/corrected document, keep a copy, and preserve the resubmission acknowledgement.

If the claim is pending

First confirm that the claim has actually been received and assigned a claim number. Then use the current status shown by the portal/app before raising a grievance.

If the sanctioned amount is lower

Ask for the reason or calculation where available. Compare hospital status, admissible CGHS rate/package, emergency documentation, referral/permission and the documents submitted.

Serving employee versus pensioner

Serving-employee claims are generally processed through the respective administrative department/Ministry, while pensioner reimbursement claims are processed by CGHS. Track the case with the authority actually handling it.

Keep a simple claim file

Save the acknowledgement, claim number, bills, discharge summary, referral/emergency documents, deficiency letters, sanction details and bank credit. This makes escalation much easier.

Related CGHS guides

CGHS Hub · Medical Reimbursement · Claim Status · CGHS Card · Complaint & Escalation

Official sources

Source review: 10 September 2026.