National Health Claims Exchange

National Health Claims Exchange (NHCX) is an online system for processing health insurance claims in India.

Overview

In 2023, India's National Health Authority (NHA), the organization implementing the Ayushman Bharat Yojana and Ayushman Bharat Digital Mission, aimed to create an unified portal for hospitals nationwide to process claims with nearly 50 insurance providers.^[1][2] The NHCX aims to standardize and simplify the exchange of health claims, making it easier for insurance companies, government schemes, and healthcare providers like hospitals and labs to share data, documents, and images. This system will also make claims processing more transparent and efficient, lowering operational costs.^[3][4]

Operations

Like internet and email networks, the NHCX allows data packets to be transferred between different points, ensuring "interoperability" of health claims processing.^[5] The platform went online in June 2024 when it processed its first claim.^[6]

References

1. Sharma, E Kumar (2023-10-30). "By Dec-end, India set to showcase a workable insurance claims exchange". Financialexpress. Retrieved 2024-07-10.
2. Dutta, Anonna (2024-05-22). "Govt plans one-stop portal for hospitals to process insurance claims". The Indian Express. Retrieved 2024-07-10.
3. Bisht, Shilpy (2024-06-10). "What Is National Health Claim Exchange? How It Will Provide Faster Claim Processing". News18. Retrieved 2024-07-10.
4. Perappadan, Bindu Shajan (2024-06-08). "What is the National Health Claim Exchange? | Explained". The Hindu. ISSN 0971-751X. Retrieved 2024-07-10.
5. Rao, Lingamgunta Nirmitha (2024-05-24). Tiwari, Vaibhav (ed.). "What is NHCX, Centre's initiative to centralize health insurance processing?". Hindustan Times. Retrieved 2024-07-10.
6. Varier, Aathira (9 June 2024). "HDFC Ergo General Insurance processes its first claim on NHCX platform". Business Standard. Retrieved 10 July 2024.

Further reading

• "Onboard NHCX to streamline health-claim settlement, IRDAI nudges insurers". The Hindu. 15 June 2024. Retrieved 10 July 2024.
• Prinja, Shankar; Chugh, Yashika; Garg, Basant; Guinness, Lorna (2023). "National hospital costing systems matter for universal healthcare: the India PM-JAY experience". BMJ Global Health. 8 (11): e012987. doi:10.1136/bmjgh-2023-012987. ISSN 2059-7908. PMC 10649618.