Medi4u provides NHCX integration for hospitals, HMIS/EMR vendors and payer-side systems. We connect your software to the National Health Claims Exchange so coverage checks, pre-authorisation, claim submission and payment updates move digitally as FHIR R4 bundles — instead of portals, emails and paper.
Get Free Consultation +91 92665 79116NHCX is the National Health Claims Exchange, built by the National Health Authority (NHA) under the Ayushman Bharat Digital Mission. It works like a common switch for health insurance claims: hospitals, insurers, TPAs and government schemes exchange claim data, documents and status through one standard protocol, rather than each payer running its own portal and format.
For a hospital, that means a claim can be raised from inside the billing screen and tracked to payment without re-keying data. For an HMIS vendor, it means one integration serves every payer on the exchange.
Verify a patient’s policy and coverage with the payer at registration or admission, directly from your software.
Send pre-auth requests with clinical and cost details, receive approvals, and handle enhancement requests during the stay.
Submit the final claim with bills, discharge summary and supporting documents as a standard FHIR R4 claim bundle.
Receive queries from the insurer or TPA and reply with additional documents inside the same claim thread.
Track every claim to settlement and record the payment notice against the patient’s bill automatically.
We handle session tokens, encrypted payloads and the asynchronous callback handling that NHCX requires.
Raise cashless and reimbursement claims from your existing HMIS, with fewer manual uploads and follow-ups.
Add an NHCX claims module to your product once and offer it to every hospital you serve.
Receive and respond to provider requests — eligibility, pre-auth, claims and payment notices — through the exchange.
Connect diagnostic and specialty billing systems that submit claims to payers.
We map your current TPA desk, billing and document flow to the NHCX use cases you need.
Participant registration on the NHCX sandbox, credentials, and callback endpoints.
Your patient, policy, billing and clinical data mapped to FHIR R4 bundles that follow the NRCeS India profiles.
Eligibility, pre-auth, claim, communication and payment flows built into your screens and tested end to end.
Production onboarding, cut-over, staff walkthrough and post go-live support.
Tell us which payers and workflows matter most to you and we will share a scope and plan. Request a free NHCX consultation.
Talk to our ABDM integration team. Free consultation, transparent pricing, and hands-on NHA certification support.
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