Claims

TOPIC

Claims

3 entries across the knowledge base

Interoperability & Standards
X12 and NCPDPThe EDI standards that move American healthcare's money and prescriptions. Positional, terse, decades old — and still carrying more clinical-financial traffic daily than FHIR has moved in its lifetime.article · 8 min · practitioner
India Digital Health · ABDM
NHCX — the National Health Claims ExchangeIndia's claims network, built on FHIR rather than X12 — what that choice actually changes for payers, providers and anyone who has worked a US revenue cycle.article · 9 min · practitioner
US Health IT Policy
US payers & coverage typesMedicare, Medicaid, CHIP, ACA marketplace plans and employer coverage — who pays, who regulates them, and why the coverage type decides which data flows and which rules apply.article · 6 min · foundation