Nexa Health Tech

India's Smartest
NHCX Bidirectional
Adapter

Connect your hospital or healthcare system to the NHCX Network and exchange healthcare claims securely and seamlessly.

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DPDP Compliant

FHIR R4 Native

NHA Certified Ready

LIVE BIDIRECTIONAL FLOW

Operational

FORWARD — CLAIM SUBMISSION

Provider

Hospital / HIS

Nexa

Adapter

NHCX

Network

Payer

Insurer / TPA

REVERSE — ADJUDICATION RESPONSE

Payer

Insurer / TPA

NHCX

Network

Nexa

Adapter

Provider

Adjudicated & Paid

NHCX Bidirectional Adapter

Connect your existing HIS to India's NHCX network without changing the systems you already use. Enable secure, seamless digital claims exchange from one platform.

India's National Health Claims Exchange

NHCX is the National Health Authority's (NHA) open protocol for standardising health insurance claims communication across India's digital health ecosystem.

Ecosystem Mandate

Every hospital, TPA, and insurer in the Ayushman Bharat network must connect to NHCX to support unified paperless adjudication and cashless claim settlement.

Nexa's Value Proposition

Nexa Health Tech's adapter makes integration effortless — compliant, fast, and production-ready from day one without disrupting active hospital operations.

Live Bidirectional Flow Architecture

Full request-response cycles including pre-auth, claim submission, status polling, adjudication responses, and payment confirmations — all handled in both directions via a single adapter.

FORWARD — CLAIM SUBMISSION

Provider

Hospital / HIS

Nexa Adapter

Middleware

NHCX Network

National exchange

Payer

Insurer / TPA

REVERSE — ADJUDICATION RESPONSE

Payer

Insurer / TPA

NHCX Network

National exchange

Nexa Adapter

Middleware

Provider

Hospital / HIS

Product Features & Platform Capabilities

One platform. Every healthcare system connected. Connect your existing healthcare infrastructure to ABDM, NHCX and modern digital health ecosystems.

INPATIENT & OPD

HMIS

Hospital, connected seamlessly across patient administration and billing systems.

Complete hospital workflow sync

INTEROPERABLE FHIR

EHR

Health records, everywhere with longitudinal patient chart aggregation.

Standardized clinical summaries

SAMPLE TRACKING

LIS

Labs, connected with automated test results binding directly to claim requests.

Automated pathology attachments

DICOM & PACS

RIS

Diagnostics, connected with fast radiological imaging reports and protocol verification.

Instant imaging report attachments

M1, M2, M3 COMPLIANT

ABDM

India's digital health, connected via Ayushman Bharat Digital Mission verified registries.

ABHA linkage and consent flow

NHA SWITCH READY

NHCX

Healthcare claims, simplified with unified pre-auth and claims exchange gateway.

Real-time adjudication router

HL7 FHIR R4

FHIR

One standard. Multiple systems. Strict schema validation and NHA claim profile conformant.

Zero-error semantic mapping

ZERO-CODE PLUG & PLAY

Integration Layer

Keep your systems. Connect everything without altering existing clinical databases.

Over 40+ production connectors

Integration Journey

Five steps from HIS connection to optimized claim lifecycle management

Integrate Your HIS
Connect your Hospital Information System via pre-built connectors or REST API. Keycloak handles authentication automatically. The configuration wizard completes in under 30 minutes.
Configure NHCX Endpoint
Register NHCX operator credentials and select target payers/insurers. Multi-payer routing, failover, and retry policies are completely automatic.
Submit Claims (Forward)
Provider HIS → Nexa Adapter → NHCX Network → Payer/Insurer. Handles FHIR R4 transformation via HAPI FHIR, NHA profile validation, and NHA-spec digital signing automatically.
Receive Responses (Reverse)
Payer/Insurer → NHCX Network → Nexa Adapter → Provider HIS. Adjudication results, pre-auth approvals, and payment confirmations are pushed back in real time via webhooks.
Monitor & Optimize
Track every claim through its full lifecycle. AI pre-screening catches likely rejections prior to submission, paired with automated compliance reports for NHA and regulators.

Targeted Stakeholders & Use Cases

From multi-specialty hospitals to government schemes — the adapter serves every stakeholder in India's health claims ecosystem.

Providers

Multi-Specialty Hospitals

High-concurrency claim handling (10,000+ claims/day), multi-payer routing, and support for OPD + IPD + Pre-auth. Full audit trails and SLA tracking at any scale.

10,000+ claims/day
Multi-payer routing
OPD + IPD + Pre-auth

Adjudication

Third Party Administrators

Automated adjudication workflows, query management, and payer API integration to cut claims processing time.

Adjudication automation
Query management
Payer API integration

Diagnostic Network

Pharmacy & Diagnostics

Cashless OPD claims, pharmacy claims, and lab result attachments without complex HIS integrations.

OPD cashless
Pharmacy claims
Lab result attachment

Payers

Health Insurers & Payers

Core policy system connection to NHCX, auto-adjudication, automated claim receipt, FHIR validation, and AI fraud detection/pre-screening.

Auto-adjudication
Fraud detection
AI pre-screening

Public Schemes

Government Health Schemes

Pre-built support for government programs including AB-PMJAY, CGHS, ESIC, and state government health insurance schemes.

AB-PMJAY ready
CGHS compliant
State scheme support

Tech Partners

HIS / EMR Vendors

White-label SDK integration to offer native NHCX compliance to end clients with a revenue share model and no self-built compliance layer.

White-label ready
SDK available
Revenue share model

TRADITIONAL INTEGRATION

Continuous manual maintenance, custom code refactoring, and ongoing vendor CR costs

Trust & Compliance

Security posture, auditability, and standards alignment your procurement, risk, and platform teams expect from enterprise health middleware.

DPDP Act 2023 Compliant
FHIR R4 Native Data Model
NHA Certified Ready
ABDM Ecosystem Ready
AES-256 Payload Encryption

RECOGNIZED STANDARDS & NHA COMPLIANCE

Compliant with DPDP Act 2023, NHA NHCX Specifications, and ABDM Framework. Exchange certification, DPA terms, and environment-specific controls are confirmed during onboarding and your procurement process.

AUTHENTICATION

Keycloak IAM & Access Control

OAuth 2.0, OIDC, mTLS, and granular RBAC with pre-configured NHA specs. Fully DPDP Act compliant with HSM-backed NHA digital signing out of the box.

OAuth 2.0 & OIDC
mTLS Authentication
HSM Digital Signing

DATA PROTECTION

End-to-End Encryption

256-bit AES encryption for all payload transactions in transit and at rest, strictly aligned with regulated health-data privacy and NHA specifications.

AES-256 at Rest
TLS 1.3 in Transit
Zero Data Leaks

GOVERNANCE

Immutable Audit Trail

Every claim transaction is logged with correlation-friendly request identifiers for rapid audit investigations, claims reconciliations, and regulatory compliance reporting.

Correlated Request IDs
Regulatory Log Export
SLA & Audit Tracking

Our Story

Powering India's Health Claims Future

Nexa Health Tech develops enterprise-grade, bidirectional NHCX gateway adapters designed to seamlessly bridge Hospital Information Systems (HIS), EMRs, TPAs, and Insurers with National Health Claims Exchange protocols.

Whether processing claims for AB-PMJAY, CGHS, state schemes, or private commercial insurers, Nexa eliminates manual pre-authorization bottlenecks and delivers real-time auditability across the complete claims lifecycle.

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Parent Organization

Nexa Health Tech

A healthcare technology group driving digital transformation across India's health ecosystem — from hospital systems to national health exchange infrastructure.

OUR MISSION

“To make health claims interoperability frictionless for every stakeholder in India's healthcare ecosystem — providers, payers, and patients alike.”

FHIR Precision
Zero-error payload conversion & HAPI FHIR R4 schema validation.
Enterprise Trust
Keycloak IAM, OAuth 2.0, mTLS, and DPDP Act 2023 compliance.
Long-Term Partner
Dedicated 24/7 technical desk & continuous NHA spec updates.

Partner With Nexa Health Tech

Dedicated desk for NHCX bidirectional integration, sandbox onboarding, and enterprise deployment. Connect with our principal systems engineers within one business day (IST, Mon–Fri).

India's Smartest NHCX Bidirectional Adapter

NHCX Bidirectional Adapter

India's National Health Claims Exchange

Ecosystem Mandate

Nexa's Value Proposition

Live Bidirectional Flow Architecture

FORWARD — CLAIM SUBMISSION

Provider

Nexa Adapter

NHCX Network

Payer

REVERSE — ADJUDICATION RESPONSE

Payer

NHCX Network

Nexa Adapter

Provider

Product Features & Platform Capabilities

HMIS

EHR

LIS

RIS

ABDM

NHCX

FHIR

Integration Layer

Integration Journey

Targeted Stakeholders & Use Cases

Why Nexa vs traditional integration

Trust & Compliance

RECOGNIZED STANDARDS & NHA COMPLIANCE

Powering India's Health Claims Future

Nexa Health Tech

FHIR Precision

Enterprise Trust

Long-Term Partner

Partner With Nexa Health Tech

NHCX Bidirectional Adapter

India's National Health Claims Exchange

Ecosystem Mandate

Nexa's Value Proposition

Live Bidirectional Flow Architecture

FORWARD — CLAIM SUBMISSION

Provider

Nexa Adapter

NHCX Network

Payer

REVERSE — ADJUDICATION RESPONSE

Payer

NHCX Network

Nexa Adapter

Provider

Product Features & Platform Capabilities

HMIS

EHR

LIS

RIS

ABDM

NHCX

FHIR

Integration Layer

Integration Journey

Targeted Stakeholders & Use Cases

Why Nexa vs traditional integration

Trust & Compliance

RECOGNIZED STANDARDS & NHA COMPLIANCE

Powering India's Health Claims Future

Nexa Health Tech

FHIR Precision

Enterprise Trust

Long-Term Partner

Partner With Nexa Health Tech

India's Smartest
NHCX Bidirectional
Adapter