The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) have joined hands to operate the National Health Claim Exchange (NHCX), a digital health claims platform developed by National Health Authority. This initiative is being undertaken in the context of a circular issued by IRDAI in June 2023. The workshop was workshop was organized from 7th to 9th November in New Delhi.
Insurance regulator had advised all insurers and providers to onboard the National health care exchange. The main focus is for exchanging claims-related information among various stakeholders in the healthcare and health insurance ecosystem. The alliance with NHCX would smooth the process of health claims processing, enhancing efficiency and transparency in the insurance industry and benefiting the policyholders and patients. The main motive of this 3 day workshop was to onboard hospital providers on the NHCX and insurance companies to fully integrate with the NHCX. Participation from 10 hospitals which includes Jupiter Hospital,Thane ; Kauvery Hospitals, Chennai; A J Hospital Research and Research Centre, Bengaluru ; Sarvodaya Hospital, Faridabad; Fortis Hospital, Gurugram; Fortis Hospital, Noida; Shri Balaji Action Hospital, Delhi; Sanar International Hospital, Gurugram; Centre for Sight, Dwarka, Delhi; and Narayana Hrudayalaya, Delhi were onboarded on the NHCX provider Registry.
M/s Jupiter Hospitals, Kauvery Hospitals, Akhil systems, Kare Expert, Fortis Hospitals, Narayana Hrudayalya and Vitraya Technologies Private Limited were able to complete the requisite M1 integration of Ayushman Bharat Digital Mission (ABDM), which is an essential step to complete NHCX integration. The M1 integration enables a software to create and verify Ayushman Bharat Health Account (ABHA).
12 insurance companies having successfully completed the NHCX integration. Four insurance companies, namely Aditya Birla Health Insurance, Star Health and Allied Insurance, Bajaj Allianz Insurance Company and HDFC Ergo Insurance had already completed the full integration in the second workshop in October. During this workshop, seven insurance companies and one TPA, namely ICICI Lombard General Insurance, The New India Assurance Company, Care Health Insurance, Go Digit General Insurance, Acko General Insurance, Tata AIG General Insurance company, Paramount TPA, United India Insurance Company successfully completed NHCX integration.
Financial incentives have been announced to promote adoption of digital health transactions and digitization of patient health records in the country. For more information with regards to this is available here: https://abdm.gov.in/DHIS.