The National Health Authority (NHA) recently announced the development of a new one-stop portal for hospitals to process insurance claims. Called the National Health Claim Exchange (NHCX), the new portal will reportedly be operational in 2-3 months and will use a common data collection format that will contain all the information needed by different insurance companies, according to officials connected with the development. It will aim to speed-up the pre-authorisation time and discharge approvals, and bring down insurance premiums in the future.
Commenting on the same, Shashank Avadhani, Co-Founder and CEO, Alyve Health, said, “The launch of the National Health Claim Exchange (NHCX) will be a pivotal milestone for the health insurance industry in India. NHCX will replace the onerous and manual claims operations with seamless and secure health data transfer from healthcare providers to insurers. With Health ID (ABHA) and NHCX, the powerful India Health Stack is ready now. This will enable customer-centric insurers and health platforms to provide instant claim settlements and 100 per cent transparency to customers. At a systemic level, NHCX will reduce both OpEx and fraud, ultimately reducing healthcare costs.”
Sharing views on this announcement, Amitabh Jain, COO, Star Health Insurance, said “The National Health Claim Exchange (NHCX), a unified platform for submitting and processing health insurance claims across hospitals, will benefit the health insurance sector. It is designed to drive efficiency, boost customer satisfaction, streamline data management and analytics, ensure regulatory compliance, minimise discrepancies, and facilitate scalability within the industry. Star Health Insurance has fully integrated its systems with the NHCX. In tandem with the GI council, the company is actively working towards onboarding all major hospitals onto the platform at the earliest. We believe that the NHCX will create a mutually beneficial scenario for customers, insurance companies, and hospitals alike.”