ANI |
Updated: Aug 14, 2023 16:50 IST

New Delhi [India], August 14 (ANI): The National Health Authority (NHA) and IRDAI (Insurance Regulatory and Development Authority of India) collectively organized an unique three-day Accelerator Workshop to assist insurance coverage corporations full their ABDM integration and to facilitate the adoption of Health Claims Exchange (HCX) specs and e-Claim requirements for insurance coverage corporations and Third-Party Administrators (TPAs).
The workshop was organized from August 10-12 within the nationwide capital and noticed participation from over 150 professionals representing 29 insurance coverage corporations and 16 TPAs, the federal government mentioned in a press notice.
The IRDAI issued a round in June 2023 advising all insurance coverage corporations to start out capturing the ABHA (Ayushman Bharat Health Account) variety of the entire individuals in search of insurance coverage protection and likewise to acquire their consent for sharing medical data with insurers/TPAs by АВНА. The ABHA quantity would assist establish the insured in a digital atmosphere and facilitate seamless healthcare and insurance coverage service supply. It would give insurers simple and well timed entry to an individual’s medical data in a secure and paperless method and assist the insured with a clear and speedy strategy of claims servicing.

Further, the IRDAI additionally issued a round advising the insurers and suppliers to get on-boarded to the National Health Claims Exchange (NHCX). The NHCX will function a gateway for exchanging claims-related data amongst stakeholders current within the healthcare and medical health insurance ecosystem together with insurers, TPAs, claimants, beneficiaries, healthcare suppliers and so on. The integration with NHCX will allow seamless interoperability of well being claims processing. 
The mixed efforts from the groups resulted in 29 entities, together with 23 insurance coverage corporations and 6 TPAs finishing their first degree (M1) of ABDM integration, which permits them to create and confirm ABHA. Further, 20 insurance coverage corporations had been additionally in a position to efficiently full Level 1.2 of their NHCX integration which might allow them to hyperlink or delink ABHA with an insurance coverage coverage.
Speaking concerning the outcomes of this workshop, CEO, NHA mentioned, “This Accelerator Workshop was a first-of-its-kind focused initiative for ABDM adoption in the insurance sector. The large number of entities that got successfully integrated demonstrates the power of collaborative working to achieve a larger goal. This has definitely encouraged us to organize more such workshops to strengthen the digital health ecosystem.”
NHA and CDAC, Pune offered technical assist to the representatives from insurance coverage corporations and TPAs and helped them full the respective integrations. The General Insurance Council (GIC) helped in bringing the involved groups from main insurers and suppliers for the workshop. (ANI)