TPA / Insurance Claims
NHCX Claims Exchange
National Health Claims Exchange: digital claim submission, adjudication tracking, and settlement reconciliation per IRDAI and NHA standards.
Key fields
- NHCX claim form generation
- Digital claim submission
- Pre-authorization via NHCX
- Claim adjudication status tracking
Workflow
- 01Generate Claim from Discharge
- 02Submit via NHCX
- 03Track Adjudication Status
- 04Respond to Queries
Compliance
- NHCX — claims exchange
Every OneCity module ties into the same shared patient record and compliance tracking, not a separate silo. For how this fits your broader accreditation planning, see our guide to NABH accreditation software. If you are still working out rollout timing, our guide to realistic ERP implementation timelines covers how modules like this one typically get sequenced. Pricing for this module is included from the Starter tier upward — see the full pricing breakdown, or the complete module list for how it fits alongside everything else.
Related reading
External references
- MoHFW — Ministry of Health — Government of India — health policy and regulation
- NHA — National Health Authority — Implements ABDM, PMJAY and national health stack
More in TPA / Insurance Claims
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