Bidirectional claim exchange
NHCX BIDIRECTIONAL ADAPTER
Single adapter handles forward submission and reverse adjudication responses
TRADITIONAL INTEGRATION
Separate integrations for outbound claims and inbound responses
Flagship Integration Adapter
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.
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.
Why Nexa vs traditional integration
The NHCX Bidirectional Adapter is built for hospitals, TPAs, and payers that need production-ready NHCX connectivity without destabilising existing systems.
HIS integration effort
NHCX BIDIRECTIONAL ADAPTER
40+ pre-built connectors — configuration wizard in under 30 minutes
TRADITIONAL INTEGRATION
Custom point-to-point integrations per hospital system
Security & compliance
NHCX BIDIRECTIONAL ADAPTER
Keycloak IAM, OAuth 2.0, mTLS, DPDP Act compliant, AES-256 encryption
TRADITIONAL INTEGRATION
Each system implements its own auth and encryption layer
Performance at scale
NHCX BIDIRECTIONAL ADAPTER
Sub-200ms latency with Redis-backed async queuing and Java 21 virtual threads
TRADITIONAL INTEGRATION
Synchronous processing bottlenecks under high claim volumes
Multi-payer connectivity
NHCX BIDIRECTIONAL ADAPTER
Single integration to all NHA-registered insurers, TPAs, and government schemes
TRADITIONAL INTEGRATION
Per-payer custom code and separate certification cycles
Maintenance & protocol updates
NHCX BIDIRECTIONAL ADAPTER
Automated schema updates for NHA FHIR R4 specs and protocol upgrades out of the box
TRADITIONAL INTEGRATION
Continuous manual maintenance, custom code refactoring, and ongoing vendor CR costs
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
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
Ready to Go NHCX-Live?
Join leading hospitals, TPAs, and insurers already connected to the NHCX network via Nexa's powered bidirectional adapter.