nhcx-full
Build India's NHCX (National Health Claims Exchange) provider-side claims integration into an existing HMIS codebase, end to end: beneficiary policy search, coverage eligibility, the payer's insurance plan, pre-authorisation, payer queries, claim, reprocess and release, and payment notices, with the NHCX gateway (JWE, x-hcx headers, ABDM session tokens, registry, callbacks) embedded in the application. Use when adding NHCX or PMJAY cashless claims to a hospital system as a whole, or when unsure which part of NHCX is needed.
- Version
- 1.2.0
Pinned to revision 27051849c9ae, so it is the text this page describes rather than whatever the author pushed since.
Files
- skills/nhcx-full/SKILL.md
- skills/nhcx-full/apis/A1-policy-search.md
- skills/nhcx-full/apis/A10-txn-related.md
- skills/nhcx-full/apis/A11-txn-dispatch.md
- skills/nhcx-full/apis/A12-txn-fhir.md
- skills/nhcx-full/apis/A13-txn-list.md
- skills/nhcx-full/apis/A14-adjudicator-user-role.md
- skills/nhcx-full/apis/A15-adjudicator-process-case.md
- skills/nhcx-full/apis/A16-gateway-token.md
- skills/nhcx-full/apis/A17-claim-state.md
- skills/nhcx-full/apis/A2-coverage-eligibility-check.md
- skills/nhcx-full/apis/A3-insurance-plan-request.md
- skills/nhcx-full/apis/A4-preauth-submit.md
- skills/nhcx-full/apis/A5-claim-submit.md
- skills/nhcx-full/apis/A6-task-submit.md
- skills/nhcx-full/apis/A7-communication-on-request.md
- skills/nhcx-full/apis/A8-paymentnotice-on-request.md
- skills/nhcx-full/apis/INDEX.md
- skills/nhcx-full/callbacks/C1-callback-door.md
- skills/nhcx-full/callbacks/C10-paymentnotice-request.md
- skills/nhcx-full/callbacks/C2-coverage-eligibility-on-check.md
- skills/nhcx-full/callbacks/C3-auth-requirements-on-check.md
- skills/nhcx-full/callbacks/C4-insuranceplan-on-request.md
- skills/nhcx-full/callbacks/C5-preauth-on-submit.md
- skills/nhcx-full/callbacks/C6-claim-on-submit.md
- skills/nhcx-full/callbacks/C7-cancel-on-submit.md
- skills/nhcx-full/callbacks/C8-enquiry-on-submit.md
- skills/nhcx-full/callbacks/C9-communication-request.md
- skills/nhcx-full/callbacks/INDEX.md
- skills/nhcx-full/database/D1-organization.md
- skills/nhcx-full/database/D10-claim-plan.md
- skills/nhcx-full/database/D11-claim-plan-benefit.md
- skills/nhcx-full/database/D12-claim-plan-form.md
- skills/nhcx-full/database/D13-claim-auth.md
- skills/nhcx-full/database/D14-claim-auth-item.md
- skills/nhcx-full/database/D15-claim-auth-requirement.md
- skills/nhcx-full/database/D16-claim-line.md
- skills/nhcx-full/database/D17-claim-form-answer.md
- skills/nhcx-full/database/D18-claim-preauth.md
- skills/nhcx-full/database/D19-claim-predetermination.md
- skills/nhcx-full/database/D2-practitioner.md
- skills/nhcx-full/database/D20-claim-submission.md
- skills/nhcx-full/database/D21-claim-payment.md
- skills/nhcx-full/database/D22-claim-payment-detail.md
- skills/nhcx-full/database/D23-claim-query.md
- skills/nhcx-full/database/D24-claim-adjudication.md
- skills/nhcx-full/database/D25-claim-diagnosis.md
- skills/nhcx-full/database/D26-claim-care-team.md
- skills/nhcx-full/database/D27-claim-item.md
- skills/nhcx-full/database/D28-claim-document.md
- skills/nhcx-full/database/D29-claim-enquiry.md
- skills/nhcx-full/database/D3-patient.md
- skills/nhcx-full/database/D30-counter.md
- skills/nhcx-full/database/D4-encounter.md
- skills/nhcx-full/database/D5-condition.md
- skills/nhcx-full/database/D6-observation.md
- skills/nhcx-full/database/D7-allergy.md
- skills/nhcx-full/database/D8-terminology.md
- skills/nhcx-full/database/D9-claim.md
- skills/nhcx-full/database/INDEX.md
- skills/nhcx-full/fhir/F1-bundle.md
- skills/nhcx-full/fhir/F10-task-claim-actions.md
- skills/nhcx-full/fhir/F11-communicationrequest.md
- skills/nhcx-full/fhir/F12-communication.md
- skills/nhcx-full/fhir/F13-paymentnotice.md
- skills/nhcx-full/fhir/F14-payment-acknowledgement.md
- skills/nhcx-full/fhir/F15-patient.md
- skills/nhcx-full/fhir/F16-practitioner.md
- skills/nhcx-full/fhir/F17-organization.md
- skills/nhcx-full/fhir/F18-coverage.md
- skills/nhcx-full/fhir/F19-other-resources.md
- skills/nhcx-full/fhir/F2-coverage-eligibility-request.md
- skills/nhcx-full/fhir/F3-coverage-eligibility-response.md
- skills/nhcx-full/fhir/F4-task-insuranceplan.md
- skills/nhcx-full/fhir/F5-insuranceplan.md
- skills/nhcx-full/fhir/F6-questionnaire.md
- skills/nhcx-full/fhir/F7-questionnaireresponse.md
- skills/nhcx-full/fhir/F8-claim.md
- skills/nhcx-full/fhir/F9-claimresponse.md
- skills/nhcx-full/fhir/INDEX.md
- skills/nhcx-full/gateway/G1-embedding.md
- skills/nhcx-full/gateway/G10-beneficiary-registry.md
- skills/nhcx-full/gateway/G11-startup-checks.md
- skills/nhcx-full/gateway/G2-configuration.md
- skills/nhcx-full/gateway/G3-session-token.md
- skills/nhcx-full/gateway/G4-registry.md
- skills/nhcx-full/gateway/G5-protocol-headers.md
- skills/nhcx-full/gateway/G6-encryption.md
- skills/nhcx-full/gateway/G7-send.md
- skills/nhcx-full/gateway/G8-receive.md
- skills/nhcx-full/gateway/G9-ledger.md
- skills/nhcx-full/gateway/INDEX.md
- skills/nhcx-full/payer/SKILL.md
- skills/nhcx-full/payer/apis/A1-eligibility-answer.md
- skills/nhcx-full/payer/apis/A10-predetermination-quote.md
- skills/nhcx-full/payer/apis/A11-txn-related.md
- skills/nhcx-full/payer/apis/A12-txn-fhir.md
- skills/nhcx-full/payer/apis/A13-adjudicate.md
- skills/nhcx-full/payer/apis/A14-disburse.md
- skills/nhcx-full/payer/apis/A15-case-exchange.md
- skills/nhcx-full/payer/apis/A16-abha-policy-link.md
- skills/nhcx-full/payer/apis/A17-participant-lookup.md
- skills/nhcx-full/payer/apis/A18-provider-driver.md
- skills/nhcx-full/payer/apis/A19-sandbox-scenarios.md
- skills/nhcx-full/payer/apis/A2-insurance-plan-answer.md
- skills/nhcx-full/payer/apis/A3-preauth-answer.md
- skills/nhcx-full/payer/apis/A4-claim-answer.md
- skills/nhcx-full/payer/apis/A5-query-request.md
- skills/nhcx-full/payer/apis/A6-payment-notice.md
- skills/nhcx-full/payer/apis/A7-payment-enquiry-answer.md
- skills/nhcx-full/payer/apis/A8-status-answer.md
- skills/nhcx-full/payer/apis/A9-task-answer.md
- skills/nhcx-full/payer/apis/INDEX.md
- skills/nhcx-full/payer/callbacks/C1-callback-door.md
- skills/nhcx-full/payer/callbacks/C10-payment-enquiry.md
- skills/nhcx-full/payer/callbacks/C11-payment-acknowledgement.md
- skills/nhcx-full/payer/callbacks/C2-coverage-eligibility-check.md
- skills/nhcx-full/payer/callbacks/C3-insurance-plan-request.md
- skills/nhcx-full/payer/callbacks/C4-preauth-submit.md
- skills/nhcx-full/payer/callbacks/C5-claim-submit.md
- skills/nhcx-full/payer/callbacks/C6-predetermination.md
- skills/nhcx-full/payer/callbacks/C7-task-submit.md
- skills/nhcx-full/payer/callbacks/C8-status-enquiry.md
- skills/nhcx-full/payer/callbacks/C9-communication.md
- skills/nhcx-full/payer/callbacks/INDEX.md
- skills/nhcx-full/payer/database/D1-payer.md
- skills/nhcx-full/payer/database/D10-procedure-rule.md
- skills/nhcx-full/payer/database/D11-procedure-rule-doc.md
- skills/nhcx-full/payer/database/D12-policy.md
- skills/nhcx-full/payer/database/D13-policy-procedure.md
- skills/nhcx-full/payer/database/D14-policy-coverage-clause.md
- skills/nhcx-full/payer/database/D15-policy-clause-benefit.md
- skills/nhcx-full/payer/database/D16-policy-alias.md
- skills/nhcx-full/payer/database/D17-policy-exclusion.md
- skills/nhcx-full/payer/database/D18-policy-sub-limit.md
- skills/nhcx-full/payer/database/D19-case.md
- skills/nhcx-full/payer/database/D2-staff.md
- skills/nhcx-full/payer/database/D20-case-diagnosis.md
- skills/nhcx-full/payer/database/D21-case-procedure.md
- skills/nhcx-full/payer/database/D22-case-doctor.md
- skills/nhcx-full/payer/database/D23-case-document.md
- skills/nhcx-full/payer/database/D24-case-document-file.md
- skills/nhcx-full/payer/database/D25-case-line-item.md
- skills/nhcx-full/payer/database/D26-case-timeline.md
- skills/nhcx-full/payer/database/D27-case-exchange-message.md
- skills/nhcx-full/payer/database/D28-nhcx-delivery.md
- skills/nhcx-full/payer/database/D29-predetermination-quote.md
- skills/nhcx-full/payer/database/D3-document-type.md
- skills/nhcx-full/payer/database/D30-payment.md
- skills/nhcx-full/payer/database/D31-audit-log.md
- skills/nhcx-full/payer/database/D32-id-sequence.md
- skills/nhcx-full/payer/database/D4-terminology-code.md
- skills/nhcx-full/payer/database/D5-member.md
- skills/nhcx-full/payer/database/D6-subscription.md
- skills/nhcx-full/payer/database/D7-subscription-family-member.md
- skills/nhcx-full/payer/database/D8-wallet-entry.md
- skills/nhcx-full/payer/database/D9-abha-link-event.md
- skills/nhcx-full/payer/database/INDEX.md
- skills/nhcx-full/payer/fhir/F1-bundle.md
- skills/nhcx-full/payer/fhir/F10-task-claim-actions.md
- skills/nhcx-full/payer/fhir/F11-communicationrequest.md
- skills/nhcx-full/payer/fhir/F12-communication.md
- skills/nhcx-full/payer/fhir/F13-paymentnotice.md
- skills/nhcx-full/payer/fhir/F14-paymentreconciliation.md
- skills/nhcx-full/payer/fhir/F15-patient.md
- skills/nhcx-full/payer/fhir/F16-practitioner.md
- skills/nhcx-full/payer/fhir/F17-organization.md
- skills/nhcx-full/payer/fhir/F18-coverage.md
- skills/nhcx-full/payer/fhir/F19-other-resources.md
- skills/nhcx-full/payer/fhir/F2-coverage-eligibility-request.md
- skills/nhcx-full/payer/fhir/F3-coverage-eligibility-response.md
- skills/nhcx-full/payer/fhir/F4-task-insuranceplan.md
- skills/nhcx-full/payer/fhir/F5-insuranceplan.md
- skills/nhcx-full/payer/fhir/F6-questionnaire.md
- skills/nhcx-full/payer/fhir/F7-questionnaireresponse.md
- skills/nhcx-full/payer/fhir/F8-claim.md
- skills/nhcx-full/payer/fhir/F9-claimresponse.md
- skills/nhcx-full/payer/fhir/INDEX.md
- skills/nhcx-full/payer/gateway/G1-embedding.md
- skills/nhcx-full/payer/gateway/G10-beneficiary-registry.md
- skills/nhcx-full/payer/gateway/G11-startup-checks.md
- skills/nhcx-full/payer/gateway/G2-configuration.md
- skills/nhcx-full/payer/gateway/G3-session-token.md
- skills/nhcx-full/payer/gateway/G4-registry.md
- skills/nhcx-full/payer/gateway/G5-protocol-headers.md
- skills/nhcx-full/payer/gateway/G6-encryption.md
- skills/nhcx-full/payer/gateway/G7-send.md
- skills/nhcx-full/payer/gateway/G8-receive.md
- skills/nhcx-full/payer/gateway/G9-ledger.md
- skills/nhcx-full/payer/gateway/INDEX.md
- skills/nhcx-full/payer/references/API.md
- skills/nhcx-full/payer/references/CALLBACK.md
- skills/nhcx-full/payer/references/CORE.md
- skills/nhcx-full/payer/references/DATABASE.md
- skills/nhcx-full/payer/references/FHIR.md
- skills/nhcx-full/payer/references/GATEWAY.md
- skills/nhcx-full/payer/references/KNOWLEDGE.md
- skills/nhcx-full/payer/references/OPERATIONS.md
- skills/nhcx-full/payer/references/PAYERS.md
- skills/nhcx-full/payer/references/READSETS.md
- skills/nhcx-full/payer/references/SCAFFOLDING.md
- skills/nhcx-full/payer/references/SCREENS.md
- skills/nhcx-full/payer/references/TESTS.md
- skills/nhcx-full/payer/screens/INDEX.md
- skills/nhcx-full/payer/screens/S1-overview.md
- skills/nhcx-full/payer/screens/S10-payments.md
- skills/nhcx-full/payer/screens/S11-fhir-preview.md
- skills/nhcx-full/payer/screens/S12-organisation.md
- skills/nhcx-full/payer/screens/S2-cases.md
- skills/nhcx-full/payer/screens/S3-case-desk.md
- skills/nhcx-full/payer/screens/S4-members.md
- skills/nhcx-full/payer/screens/S5-subscriptions.md
- skills/nhcx-full/payer/screens/S6-policies.md
- skills/nhcx-full/payer/screens/S7-policy-configurator.md
- skills/nhcx-full/payer/screens/S8-procedures.md
- skills/nhcx-full/payer/screens/S9-procedure-configurator.md
- skills/nhcx-full/payer/steps/INDEX.md
- skills/nhcx-full/payer/steps/L1-discovery.md
- skills/nhcx-full/payer/steps/L2-mapping.md
- skills/nhcx-full/payer/steps/L3-integration-planning.md
- skills/nhcx-full/payer/steps/L4-code-planning.md
- skills/nhcx-full/payer/steps/L5-write-code.md
- skills/nhcx-full/payer/steps/L6-validate-code.md
- skills/nhcx-full/payer/steps/L7-dry-run-tests.md
- skills/nhcx-full/payer/steps/L8-e2e-tests.md
- skills/nhcx-full/payer/steps/LOG.md
- skills/nhcx-full/payer/tests/INDEX.md
- skills/nhcx-full/payer/tests/T1-test-configuration.md
- skills/nhcx-full/payer/tests/T10-preauth-cancelled.md
- skills/nhcx-full/payer/tests/T11-predetermination-quoted.md
- skills/nhcx-full/payer/tests/T12-claim-approved.md
- skills/nhcx-full/payer/tests/T13-claim-lama-death.md
- skills/nhcx-full/payer/tests/T14-reprocess-and-release.md
- skills/nhcx-full/payer/tests/T15-payment-noticed.md
- skills/nhcx-full/payer/tests/T16-payment-enquiry-answered.md
- skills/nhcx-full/payer/tests/T17-status-answered.md
- skills/nhcx-full/payer/tests/T18-redelivery-ignored.md
- skills/nhcx-full/payer/tests/T2-test-runners.md
- skills/nhcx-full/payer/tests/T3-eligibility-answered.md
- skills/nhcx-full/payer/tests/T4-auth-requirements-ruled.md
- skills/nhcx-full/payer/tests/T5-insurance-plan-served.md
- skills/nhcx-full/payer/tests/T6-preauth-approved.md
- skills/nhcx-full/payer/tests/T7-preauth-rejected.md
- skills/nhcx-full/payer/tests/T8-preauth-queried.md
- skills/nhcx-full/payer/tests/T9-enhancement-approved.md
- skills/nhcx-full/references/API.md
- skills/nhcx-full/references/CALLBACK.md
- skills/nhcx-full/references/CORE.md
- skills/nhcx-full/references/DATABASE.md
- skills/nhcx-full/references/FHIR.md
- skills/nhcx-full/references/GATEWAY.md
- skills/nhcx-full/references/KNOWLEDGE.md
- skills/nhcx-full/references/OPERATIONS.md
- skills/nhcx-full/references/PAYERS.md
- skills/nhcx-full/references/READSETS.md
- skills/nhcx-full/references/SCAFFOLDING.md
- skills/nhcx-full/references/SCREENS.md
- skills/nhcx-full/references/TESTS.md
- skills/nhcx-full/screens/INDEX.md
- skills/nhcx-full/screens/S1-search-policy.md
- skills/nhcx-full/screens/S10-communication.md
- skills/nhcx-full/screens/S11-claim-submission.md
- skills/nhcx-full/screens/S12-payments.md
- skills/nhcx-full/screens/S13-patient-list.md
- skills/nhcx-full/screens/S14-patient-registration-form.md
- skills/nhcx-full/screens/S15-patient-detail.md
- skills/nhcx-full/screens/S16-practitioner-master.md
- skills/nhcx-full/screens/S2-select-policy.md
- skills/nhcx-full/screens/S3-policy-discovery.md
- skills/nhcx-full/screens/S4-claim-creation-form.md
- skills/nhcx-full/screens/S5-claim-master.md
- skills/nhcx-full/screens/S6-claim-detail.md
- skills/nhcx-full/screens/S7-insurance-plan.md
- skills/nhcx-full/screens/S8-line-items.md
- skills/nhcx-full/screens/S9-preauthorisation.md
- skills/nhcx-full/steps/INDEX.md
- skills/nhcx-full/steps/L1-discovery.md
- skills/nhcx-full/steps/L2-mapping.md
- skills/nhcx-full/steps/L3-integration-planning.md
- skills/nhcx-full/steps/L4-code-planning.md
- skills/nhcx-full/steps/L5-write-code.md
- skills/nhcx-full/steps/L6-validate-code.md
- skills/nhcx-full/steps/L7-dry-run-tests.md
- skills/nhcx-full/steps/L8-e2e-tests.md
- skills/nhcx-full/steps/LOG.md
- skills/nhcx-full/tests/INDEX.md
- skills/nhcx-full/tests/T1-test-configuration.md
- skills/nhcx-full/tests/T10-irdai-claim.md
- skills/nhcx-full/tests/T11-irdai-payment.md
- skills/nhcx-full/tests/T12-irdai-reprocess-and-release.md
- skills/nhcx-full/tests/T13-pmjay-eligibility-and-package-master.md
- skills/nhcx-full/tests/T14-pmjay-preauth-adjudicated.md
- skills/nhcx-full/tests/T15-pmjay-query-by-resubmission.md
- skills/nhcx-full/tests/T16-pmjay-rejection-and-enhancement.md
- skills/nhcx-full/tests/T17-pmjay-claim-adjudicated.md
- skills/nhcx-full/tests/T18-pmjay-payment-status-cancel.md
- skills/nhcx-full/tests/T2-test-runners.md
- skills/nhcx-full/tests/T3-irdai-policy-and-eligibility.md
- skills/nhcx-full/tests/T4-irdai-plan-and-auth-requirements.md
- skills/nhcx-full/tests/T5-irdai-preauth-approved.md
- skills/nhcx-full/tests/T6-irdai-preauth-rejected.md
- skills/nhcx-full/tests/T7-irdai-query-answered.md
- skills/nhcx-full/tests/T8-irdai-enhancement.md
- skills/nhcx-full/tests/T9-irdai-cancel-and-status.md
Every link opens the file at its source, pinned to the revision this page describes.