End-to-End NHCX Pipeline

How Nexa NHCX Gateway Works

Step-by-step technical breakdown of bidirectional claim execution — from HIS request transformation via HAPI FHIR to Keycloak-secured NHA network transmission and instant response callbacks.

Step-by-step Flow

Five-Step Integration Journey

  1. Step 01

    • 40+ HIS connectors
    • REST + FHIR APIs
    • OAuth 2.0 + Keycloak

    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.

  2. Step 02

    • Auto NHCXregistration
    • Multi-payer routing
    • Sandbox env

    Configure NHCXEndpoint

    Register NHCXoperator credentials and select target payers/insurers. Multi-payer routing, failover, and retry policies are completely automatic.

  3. Step 03

    • HAPI FHIR transform
    • NHA validation
    • Digital signing

    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.

  4. Step 04

    • Webhook delivery
    • Idempotent retries
    • Structured FHIR resp.

    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.

  5. Step 05

    • Real-time dashboard
    • AI denial prevention
    • Compliance reports

    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.

Pipeline Architecture

Under the Hood of Bidirectional Processing

Automatic validation, payload encryption, multi-tenant routing, and webhook delivery happen seamlessly behind the scenes.

AUTHENTICATION

Keycloak OAuth 2.0 & mTLS

Every request to and from the NHCX network is secured with mutual TLS and NHA OIDC tokens.

  • mTLS handshake verification
  • Keycloak OIDC token issuance
  • RBAC tenant isolation
COMPLIANCE & SIGNING

NHA Profile Validation

Incoming and outgoing claims are validated against NHA FHIR profiles prior to transmission.

  • HAPI FHIR R4 validator
  • HSM digital payload signing
  • DPDP Act 2023 payload encryption
PERFORMANCE

Async Queue & Webhooks

Redis-backed event processing pushes claim updates back to provider HIS in real time.

  • Sub-200ms execution latency
  • Idempotent retry engine
  • Webhooks with fallback polling

Ready to Go NHCX-Live?

Join leading hospitals, TPAs, and insurers already connected to the NHCX network via Nexa's powered bidirectional adapter.