Developed by the National Health Authority (NHA), the NHCX platform is a single window interface which provides secure and efficient exchange of health insurance claims data. The platform is poised to revolutionise India’s health insurance landscape by setting a new standard for efficiency and transparency in claims processing.
Mumbai:HDFC ERGO General Insurance successfully processed its first-ever health claim through the National Health Claims Exchange (NHCX) platform.
This groundbreaking achievement marks a significant leap forward, which will help streamline health claims processing, improve administrative efficiencies, and enhance customer experience by building a cohesive technology-driven system.
Based on the directive from Insurance Regulatory and Development Authority of India (IRDAI), General Insurance Council has been working on bringing the various stakeholders together to ensure the entire process of health Insurance is done in more simplified and transparent manner.
Developed by the National Health Authority (NHA), the NHCX platform is a single window interface which provides secure and efficient exchange of health insurance claims data. The platform is poised to revolutionise India’s health insurance landscape by setting a new standard for efficiency and transparency in claims processing.
As a digital health claims portal, National Health Claims Exchange (NHCX) is a significant leap towards ensuring interoperability of health claims and fostering transparency within the industry.
HDFC ERGO becomes one of the lead insurers to process health claim on NHCX platform. This marks a significant step forward in India’s health insurance landscape and attests the commitment of the Company in propelling financial inclusion in India
Parthanil Ghosh, Director and Chief Business Officer, HDFC ERGO General Insurance, said, “In alignment with IRDAI’s vision of ‘Insurance for All by 2047’, we are committed to provide innovative solutions thereby making insurance accessible and affordable and continue to work towards improving insurance penetration across the country. In alignment to the Government’s flagship ‘Ayushman Bharat Digital Mission’, we are proud to successfully process our first health claim through the NHCX platform. This further underscores our commitment to leverage cutting-edge technology and bring in better transparency and claims efficiency in health insurance.’
The NHCX is a critical gateway for exchanging claims-related information within the healthcare and insurance ecosystem. It is designed to streamline and enhance health insurance claims processing by integrating insurers, healthcare providers, and policyholders into a cohesive, technology-driven system.
This platform leverages advanced digital technologies to ensure efficient, transparent, and expedited claims settlements, thereby improving the overall health insurance ecosystem.
The process begins with the hospital generating a bill through their Hospital Information System (HIS), which is then uploaded to a Third-Party Administrator (TPA) app.
The Health Claim System (HCS) of HDFC ERGO then processes the claims in their claim processing queue.