National Health Claims Exchange Explained

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]

Further reading

• News: 15 June 2024 . Onboard NHCX to streamline health-claim settlement, IRDAI nudges insurers . live . 10 July 2024 . The Hindu.
• Prinja . Shankar . Chugh . Yashika . Garg . Basant . Guinness . Lorna . National hospital costing systems matter for universal healthcare: the India PM-JAY experience . . 8 . 11 . 10.1136/bmjgh-2023-012987 . 2059-7908.

Notes and References

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