The National Health Authority (NHA) has invited contributors and developers from the open community to test, contribute and become a participant in the Health Claims Exchange Ecosystem by onboarding on the HCX – Sandbox Environment.
About Health Claims Exchange (HCX)
- NHA announced HCX as a new initiative under the Ayushman Bharat Digital Mission (ABDM) on 23rd September 2022 and subsequently worked with various groups to come up with Health Insurance Exchange specifications.
- NHA has developed a national Health Claims Exchange (HCX) to enable interoperability of health claims.
- The HCX serves as a protocol for exchanging claims-related information among various actors, including payers, providers, beneficiaries, regulators, and observers.
- It is designed to be interoperable, machine-readable, auditable, and verifiable which helps ensure that the information being exchanged is accurate and trustworthy.
- HCX will act as a gateway (with validation and routing capabilities) for the ecosystem wherein the Insurers/ TPAs shall send responses for each FHIR based e-claim submitted by providers via the HCX through standard protocols (APIs).
