National Health Claims Exchange — NHCX

Why in News?

The National Health Authority has been promoting adoption and interoperability of NHCX as part of India's digital health ecosystem.

What is NHCX?

National Health Claims Exchange is a digital public infrastructure designed to standardise and streamline health insurance claims processing.

Nodal Institution

National Health Authority (NHA)

Related Ecosystem

It operates within the broader framework of the Ayushman Bharat Digital Mission (ABDM).

Objectives

  • Standardise health claims
  • Enable interoperability
  • Reduce paperwork
  • Reduce processing time
  • Reduce administrative burden
  • Improve transparency
  • Facilitate communication between:
    • Hospitals/providers
    • Insurers/payers
    • Government health schemes

Important Technology

NHCX promotes standardised exchange of health-claims information.

NHA is also working on conversion of insurance-plan information into standardised FHIR bundles to improve interoperability.

Prelims

NHCX → Health insurance claims + Digital Public Infrastructure + NHA + ABDM