New Delhi: The National Health Claims Exchange (NHCX) is likely to be launched in the next two-three months, official sources said on Wednesday.
NHCX is a digital health claims platform developed by the National Health Authority (NHA) to ensure interoperability and faster processing of health insurance claims.
The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) had joined hands to launch NHCX last year.
IRDAI, through a circular in June 2023, had advised all insurers and providers to incorporate NHCX.
Insurance companies have different portals, making it cumbersome for hospitals, patients and other stakeholders to process health insurance claims."NHCX is ready and likely to be launched in the next two-three months. The claims exchange has been developed as part of the Ayushman Bharat Digital Mission (ABDM)," the source said.
Through NHCX, all the insurance companies will be on one platform. It will serve as a gateway for exchange of claims related information between various stakeholders in the health care and health insurance ecosystem.
The source said, “The integration with NHCX will enable seamless interoperability in health claims processing, thereby increasing efficiency and transparency in the insurance industry, benefiting policyholders and patients.,
NHA and IRDAI are conducting meetings and workshops with hospitals and insurance companies for complete integration of 40-45 health insurance companies with NHCX.
Many insurance companies such as Aditya Birla Health Insurance, Star Healt & Allied Insurance, Bajaj Allianz Insurance Company, and HDFC ERGO Insurance ICICI Lombard General Insurance, The New India Assurance Company, Tata AI General Insurance Company, Paramount TPA, United India Insurance Company NHCX Integration completed.
Officials had said that the current process of claims exchange lacks standardization across the ecosystem, with most of the data exchange taking place through PDF/manual methods and processes varying significantly between insurers, TPAs and providers, leading to There is a high cost to process each claim.
NHCX is a digital health claims platform developed by the National Health Authority (NHA) to ensure interoperability and faster processing of health insurance claims.
The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) had joined hands to launch NHCX last year.
IRDAI, through a circular in June 2023, had advised all insurers and providers to incorporate NHCX.
Insurance companies have different portals, making it cumbersome for hospitals, patients and other stakeholders to process health insurance claims."NHCX is ready and likely to be launched in the next two-three months. The claims exchange has been developed as part of the Ayushman Bharat Digital Mission (ABDM)," the source said.
Through NHCX, all the insurance companies will be on one platform. It will serve as a gateway for exchange of claims related information between various stakeholders in the health care and health insurance ecosystem.
The source said, “The integration with NHCX will enable seamless interoperability in health claims processing, thereby increasing efficiency and transparency in the insurance industry, benefiting policyholders and patients.,
NHA and IRDAI are conducting meetings and workshops with hospitals and insurance companies for complete integration of 40-45 health insurance companies with NHCX.
Many insurance companies such as Aditya Birla Health Insurance, Star Healt & Allied Insurance, Bajaj Allianz Insurance Company, and HDFC ERGO Insurance ICICI Lombard General Insurance, The New India Assurance Company, Tata AI General Insurance Company, Paramount TPA, United India Insurance Company NHCX Integration completed.
Officials had said that the current process of claims exchange lacks standardization across the ecosystem, with most of the data exchange taking place through PDF/manual methods and processes varying significantly between insurers, TPAs and providers, leading to There is a high cost to process each claim.
