01
Digital claims submission
Enable electronic submission and exchange of healthcare claim information between providers and payers.
Claims, connected
NHCX Integration Services for Insurers, TPAs & Hospitals.
Enable seamless digital claim-related data exchange between hospitals, insurance companies, TPAs, and healthcare technology platforms. Integrate existing applications with standardized workflows without replacing your core systems.
Hospitals✳Insurers✳TPAs✳Platforms
Claims exchange
One connected workflow
H
Hospital
I
Insurance
T
TPA
P
Health platform
NHCX connector
Pre-auth
Claim data
Status
Keep your existing healthcare software
Digital claimsPre-authorizationStructured dataExisting systems
Integration capabilities
Connect the steps behind every claim.
Bring claim submission, pre-authorization, status, and supporting information into connected digital workflows.
02
Pre-authorization workflows
Support digital exchange of pre-authorization requests and related information between hospitals and insurance stakeholders.
03
Claim information exchange
Facilitate structured exchange of patient, treatment, billing, and claim-related information.
04
Claim status updates
Let connected systems exchange claim processing and status information digitally.
05
Hospital system integration
Connect existing HMS, billing, discharge, and insurance modules with NHCX-compatible workflows.
06
Insurance & TPA integration
Support digital communication between hospitals, insurers, and TPAs through interoperable claim workflows.
07
Standardized data exchange
Map and transform existing healthcare and billing data into required exchange formats.
08
API-based integration
Connect NHCX workflows with existing healthcare applications through secure APIs and integration layers.
Made to fit your stack
Systems we can connect.
Bring your existing claims, billing, and care applications into NHCX-aligned workflows while preserving the systems your teams already use.
Map your systems01Hospital Management Systems (HMS)
02Hospital Billing Software
03Insurance Management Platforms
04TPA Systems
05Healthcare SaaS Platforms
06Claims Management Software
07EMR/EHR Systems
08Multi-Hospital Healthcare Networks
09Legacy Healthcare Applications
Value for every participant
A clearer digital connection across claims.
01
Hospitals
- Reduce manual claim-related processes
- Improve digital information exchange
- Connect existing hospital systems
- Support streamlined insurance workflows
02
Insurers & TPAs
- Standardize communication with providers
- Improve claim information exchange
- Reduce dependency on manual processes
- Coordinate digital workflows
03
Technology providers
- Build NHCX-compatible capabilities
- Integrate multiple stakeholders
- Reuse integration components
- Support scalable claims workflows
A flexible integration architecture
Your systems stay at the center.
An integration layer connects existing applications with standardized claim data exchange across the NHCX ecosystem.
Your systemsHMS · Billing · Claims
NHCX integration layerConnector · APIs · Data mapping
Standardized exchangeStructured claim information
NHCX ecosystemInteroperable digital workflows
Payers & partnersInsurance · TPA systems
Build a connected claims workflow
Bring your healthcare systems into the NHCX ecosystem.
Integrate your HMS, billing, insurance, TPA, or healthcare SaaS platform with NHCX-aligned workflows to create a more standardized digital environment for healthcare claim information exchange.
Plan your integration