The Employees' State Insurance Corporation (ESIC) on January 23, 2026, issued a circular regarding the Systemic Improvements Related to Discrepancies in Super Specialty Treatment Billing.
Review of Systemic discrepancies and grey areas in SST billing and align practices in accordance with the Revised CGHS Rate Circular dated October 03, 2025, including Vigilance observations and ESIC Referral Policy 2023.
The point to point explanation/suggestion/solutions to the discrepancies received from vigilance branch have been provided in the Table.
[File No: U-16012/22/2025-SST]