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

Overview

In 2023, India's

National Health Authority The National Health Authority or the NHA is responsible for implementing India’s flagship public health insurance/assurance scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). NHA has been set-up to implement the PM-JAY at the nat ...

(NHA), the organization implementing the

Ayushman Bharat Yojana Ayushman Bharat Pradhan Mantri Jan Arogya Yojana ( or PM-JAY'';'' also referred to as Ayushman Bharat National Health Protection Scheme or NHPS) is a national public health insurance fund of the Government of India that aims to provide free acc ...

and Ayushman Bharat Digital Mission, aimed to create an unified portal for hospitals nationwide to process claims with nearly 50 insurance providers. 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.

Operations

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

Overview

Operations

References

Further reading