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  • Writer's pictureKRISHNENDU KUNDU

HDFC ERGO uses the NHCX Platform to Process its First Health Claim

News Desk, News Nation 360 : The top private general insurer in India, HDFC ERGO General Insurance Company, has completed its first-ever health claim via the National Health Claims Exchange (NHCX) system. By creating a unified, technology-driven system, this ground-breaking accomplishment will help expedite the processing of health claims, increase administrative efficiencies, and improve customer experience. The National Health Authority (NHA) created the NHCX platform, a single-window interface that facilitates the safe and effective exchange of information about health insurance claims. By establishing a new benchmark for processing claims with efficiency and transparency, the platform has the potential to completely transform the health insurance market in India. In compliance with an instruction from the Insurance Regulatory and Development Authority of India (IRDAI), the General Insurance Council has been collaborating with different stakeholders to guarantee a more streamlined and transparent health insurance process. Parthanil Ghosh, Director and Chief Business Officer, HDFC ERGO General Insurance, stated that their commitment to delivering creative solutions that make insurance accessible and affordable, in line with IRDAI's vision of "Insurance for All by 2047," means that they will keep working to increase insurance penetration throughout the nation. As part of the government's "Ayushman Bharat Digital Mission," they are pleased to process their first health claim via the NHCX platform with success. This demonstrates even more dedication to utilising cutting-edge technology to improve health insurance claims efficiency and transparency. An essential conduit for the interchange of claims-related data between the insurance and healthcare sectors is the NHCX. Its goal is to create a unified, technologically advanced system that unifies insurers, healthcare providers, and policyholders to expedite and improve the processing of health insurance claims. This platform improves the entire health insurance ecosystem by utilising cutting-edge digital technologies to ensure quick, transparent, and efficient claims settlements. A Third-Party Administrator (TPA) app receives the bill that the hospital generates through its Hospital Information System (HIS) and uploads it to it. The claims in their claim processing queue are subsequently handled by HDFC ERGO's Health Claim System (HCS).



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