National Health Claim Exchange

• The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) have joined hands to operationalize the National Health Claim Exchange (NHCX)
• NHCX is a digital health claims platform developed by National Health Authority.
• It is being undertaken in the context of a circular issued by IRDAI in June 2023, whereby the insurance regulator had advised all insurers and providers to onboard the NHCX.
• The NHCX will serve as a gateway for exchanging claims-related information among various stakeholders in the healthcare and health insurance ecosystem.
• The integration with NHCX would enable seamless interoperability of health claims processing, enhancing efficiency and transparency in the insurance industry and benefiting the policyholders and patients.

ABOUT NHA

• The National Health Authority or the NHA is responsible for implementing India’s flagship public health insurance/assurance scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana.
• NHA has been set-up to implement the PM-JAY at the national level.
• It is an autonomous entity established in 2019 under the Society Registration Act, 1860.
• It oversees the design, technological infrastructure, and implementation of the “National Digital Health Mission“ to create a National Digital Health Eco-system.
• It replaced the National Health Agency and operates as an attached office of the Ministry of Health and Family Welfare.

ABOUT IRDAI

• The Insurance Regulatory and Development Authority of India is a statutory body established under the IRDA Act 1999.
• It is under the jurisdiction of the Ministry of Finance.
• It is tasked with regulating and licensing the insurance and re-insurance industries in India.
• HQ- Hyderabad
• It is a 10-member body– a Chairman, five full-time members, and four part-time members appointed by the Government of India.