
NHCX Integration Architecture: Adding Claims to an Existing HMIS Without a Rewrite
Most Indian HMIS products were built years before the National Health Claims Exchange existed. The question their engineering teams now face is not "c...
Teams call us when ABDM stops being a policy update and turns into a line in someone's tender. We take you from the NHA sandbox to certified and live — M1 through M4, and NHCX claims after that — without replacing the system you already run.
ABDM means something different depending on what you sell and who you answer to. Pick the one that sounds like you — the trigger, what it unlocks, and what we actually hand over.
ABDM arrives through empanelment paperwork, a scheme requirement, or patients who expect their ABHA to mean something at your desk.
Empanelment and scheme paperwork that asks for ABDM participation, a group-level digital mandate, or a corporate customer who wants records to move between your units.
Your HIS talking to ABDM, the NHA test evidence for each certified milestone, staff-facing screens that don't add clicks, and a runbook your IT team can actually operate.
You don't run hospitals, you sell to them. ABDM is now a qualifying question in your sales cycle — and you have an install base, not one deployment.
"Is your product ABDM-certified?" appearing in RFPs and renewals. Or one large customer setting a date, and you realising the answer has to work for all the others too.
ABDM built into your codebase and your release process — not a side application. Plus the certification evidence, an onboarding checklist per facility, and handover to your engineers.
Digital-first, no legacy to protect. For you ABDM is identity and trust — proving the patient is who they say they are, and pulling a history worth acting on.
An enterprise or government customer asking for it, a partnership that needs verified patient identity, or a product bet on records portability being the differentiator.
Working ABHA and consent flows in your product, the consent artefacts stored the way an auditor expects, and the certified milestones behind them.
Maternal health, screening, immunisation, field-worker apps. Different constraints: offline villages, many languages, several schemes at once, a state portal to align with.
A state directive with a date on it, or a department that now runs several applications and doesn't want to certify each one separately.
A central ABDM gateway your schemes share, the FHIR mapping for each programme's clinical data, and the certification evidence — plus the NHA correspondence, handled by us.
Your problem isn't records — it's the days money sits in transit. NHCX puts eligibility, pre-auth and claims on the rails ABDM already gave you.
Pre-authorisation still moving by email and portal. A finance team measuring claim cycle time in weeks. Or an insurer partner who has already onboarded and wants you on the exchange.
The claim lifecycle wired into your existing billing, insurer responses handled reliably even when they come back hours later, and support through NHCX participant onboarding.
Timelines are from our own delivery, for planning. Yours gets scoped on the call.
ABDM ships in milestones. You don't need all of them — most organisations get real value from the first two and add the rest when a partner or a payer asks.
Identity, created or verified at your registration desk and tied to your own record.
Reports and summaries released to whoever the patient consents to share them with.
A patient's prior records pulled in from other providers, with their consent.
Eligibility, pre-auth and claims with every insurer through one connection.
M4 — listing your facility and doctors on the national registries — is optional, and we do it when it helps you. Everything is certified in the sandbox first, then promoted against your live system. Your existing HIS stays where it is.
Two questions: who writes the code, and how many applications need to end up certified.
You keep the keyboard. Our consultants sit with your developers and stay on it until you're certified.
Engineers who have shipped ABDM before write it inside your product. No separate system, no handover gap.
One central layer with shared mapping and consent screens. Certify it once; bring each application on after.
Fixed price agreed before we start, or a dedicated team by the month. Licensing is a one-time fee bundled with the consultancy — source code included, engineers with you until go-live. No per-transaction fee, nothing that grows as you do.
The build is predictable. Everything around it isn't — certification queues and how many facilities you're rolling out move the date far more than the code does. Ranges from our own delivery.
Planning ranges from projects we've delivered, not a quote. You get a fixed number after one scoping call, before you commit to anything.
Six gates, and we run all six — including the NHA correspondence and any written exceptions your product needs.
Delivered work, not a capability slide.
Hospital information system with live installs across multiple facilities. ABDM built inside the existing product and certified — without touching the clinical modules.
ABHA identity and consented record exchange delivered into a live healthcare platform.
Our own .NET and TypeScript SDKs for ABDM V3, maintained in production and reused across every client project.
ABDM appeared in their customer contracts with a hard date. We delivered M1, M2 and M3 inside their existing application and covered every mandatory NHA test case — without touching the clinical modules their hospitals use daily.
One tenant-aware ABDM layer behind separate identities and databases per hospital. Adding the next facility became a configuration step, not a delivery project.
We maintain production ABDM V3 SDKs in .NET and TypeScript — milestone flows, encryption and FHIR bundles, under a real test suite. Your project starts on tested foundations, not a blank sandbox.
The questions that come up before anyone signs anything.
Written for the people who have to make the decision, not just the ones who implement it.
One call. We'll tell you which milestones you actually need, roughly how long it takes, and what it would cost — including if the answer is that you should do it in-house.
Baner, Pune,
Maharashtra 411045
Iselin,
NJ 08830
An engineer who has actually shipped ABDM will reach out within one business day.