The National Health Authority (NHA) has successfully completed the evaluation phase of the NHCX Hackathon, conducted under the Ayushman Bharat Digital Mission (ABDM) to drive innovation around the National Health Claims Exchange (NHCX). The top teams will now present their solutions at the NHCX Innovation Meet, scheduled to be held on 6th and 7th March 2026 at IIT Hyderabad, where winning solutions will be showcased and recognised.

The hackathon was organised in collaboration with ecosystem partners including IIT Hyderabad, National Resource Centre for EHR Standards (NRCeS), General Insurance Council (GIC), Google, Insurance Information Bureau (IIB), Insurance Regulatory and Development Authority of India (IRDAI), National Accreditation Board for Hospitals and Healthcare Providers (NABH), India Insurtech Association (IIA), and NATHealth.

Problem Statements Focused on Real-World Claims Challenges

The hackathon invited participants to develop solutions addressing key operational challenges in health insurance claims processing and ecosystem interoperability.

Under the Hackathon (build) track, participants worked on developing open-source utilities for:

1. Legacy Systems to NHCX-aligned FHIR Converter (Eligibility Check, Claim, Pre-Authorisation and Communication workflows)

2. Clinical Documents to FHIR Structured Data Converter (Diagnostic Reports and Discharge Summaries)

3. PDF to NHCX-aligned Insurance Plan FHIR Bundle

Under the Ideathon track, participants were invited to develop business use cases addressing ecosystem-level challenges such as:

1. Fraud Management and Detection leveraging NHCX capabilities

2. Optimisation of Claims Processing Time and Cost leveraging NHCX capabilities

These problem statements were designed to encourage solutions that leverage standardised FHIR data, ABDM registries and NHCX workflows to improve interoperability, efficiency and transparency in the health insurance ecosystem.

Hackathon Sees Strong Ecosystem Participation

The hackathon received an enthusiastic response from across the healthcare, insurance and technology ecosystem. The strong participation reflects growing ecosystem interest in building interoperable and standards-based solutions for India’s digital health insurance infrastructure.

A total of 396 registrations were received, out of which 112 submissions were made across the five problem statements.

Among the hackathon tracks, the problem statement on “Clinical Documents to FHIR Structured Data Converter (Diagnostic Reports and Discharge Summaries)” received the highest number of submissions with 42 entries.

Under the ideathon track, the problem statement on “Fraud Management and Detection leveraging NHCX capabilities” received the highest participation with 43 submissions.

All submissions initially underwent a pre-assessment stage, where entries were screened against defined evaluation criteria. Shortlisted teams were then invited for jury evaluation, following which the top three teams were selected for each problem statement.

Participants included health-tech startups, insurtech companies, insurers, TPAs, hospitals including PMJAY-empanelled hospitals, HMIS vendors, academic institutions, developers, students and technology innovators, reflecting a diverse and collaborative innovation ecosystem.

NHCX Innovation Meet to Showcase Winning Solutions

The NHCX Innovation Meet, scheduled on 6th and 7th March 2026 at IIT Hyderabad, will bring together leaders from government, healthcare institutions, insurers, technology organisations and academia to discuss the future of digital health claims infrastructure in India.

The event will feature presentations by winning teams showcasing their solutions, keynote addresses and panel discussions focused on strengthening standardisation, interoperability and efficiency in the health insurance claims ecosystem.

Prominent dignitaries including Dr. Sunil Kumar Barnwal, CEO, National Health Authority, and the Chairman of IRDAI, along with senior leaders from government, hospitals, insurers and digital health organisations will address the gathering during the two-day event.

Industry Leaders to Participate in Panel Discussions

The Innovation Meet will host panel discussions featuring representatives from organisations across the health insurance ecosystem including NABH, NATHealth, Insurance Information Bureau (IIB), insurers, TPAs, and digital health innovators.

These discussions will focus on themes such as standardisation in claims settlement, accelerating NHCX adoption across hospitals and insurers, and the role of technology and data standards in transforming claims processing workflows.

Technology Demonstrations and Ecosystem Showcases

As part of the event, technology demonstration stalls will be set up by organisations including Google, AWS, NRCeS, NABH and NHA to showcase innovations and digital infrastructure within the ecosystem.

Recognition of Ecosystem Contributors

During the event on 7th March, NHA will also recognise key contributors to the digital health ecosystem through:

• Awards for Hackathon and Ideathon winners

• Launch and felicitation of NHCX Champions and ABDM Ambassadors

• Recognition of early integrators of NHCX with PMJAY systems

These recognitions aim to acknowledge organisations and leaders who are actively contributing to the adoption and scaling of NHCX across India’s healthcare and insurance ecosystem.

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