What is NHCX?
The National Health Claims Exchange (NHCX) is part of the Ayushman Bharat Digital Mission. It provides a common, standards-based channel for hospitals, insurers and TPAs to exchange pre-authorisation and claim information, replacing scattered portals, emails and paper.
For a hospital, the practical benefit is fewer manual re-entries, clearer status on every request and faster settlement cycles.
How HISVention handles NHCX
HISVention includes an NHCX operations workspace within the RCM (Revenue Cycle Management) module: create a new case, raise a pre-authorisation, and submit a claim. Each request is tied to the patient, payer, policy and the procedures or packages being billed.
Requests are listed with their reference, payer, policy, requested and approved amounts and current status, so billing and TPA desks know exactly what needs action.
Connected to billing and revenue
Because RCM shares a database with IP Billing, Package & Plan and the BI Dashboard, approved amounts, co-pays and rejections feed directly into final bills, outstanding AR and denial-rate reporting for leadership.
See it on your own scenarios
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