The National Health Authority (NHA) and the IRDAI have joined hands to operationalise the National Health Claim Exchange (NHCX), a digital health claims platform developed by the NHA.
This initiative is being undertaken in the context of a circular issued by IRDAI in June 2023, in which the insurance regulator had advised all insurers and providers to onboard the NHCX, according to a government statement.
The NHCX will serve as a gateway for exchanging claims-related information among various stakeholders in the healthcare and health insurance ecosystem. The integration with NHCX would enable seamless interoperability of health claims processing, enhancing efficiency and transparency in the insurance industry and benefiting the policyholders and patients.
In this regard, workshops have been, organised, aimed mainly at hospital providers to onboard on the NHCX and insurance companies to fully integrate with the NHCX. Over 150 professionals representing 45 organisations – insurance companies, TPAs, and hospitals have participated in these workshops. The organisations were advised to select their most popular retail product along with one network hospital to pilot the operationalization of NHCX.
To date, at least 12 insurance companies are fully integrated with NHCX .
