IRDAI and NHA to set up National Health Claims Exchange to settle claims

Tags: National News

The National Health Authority (NHA) and the Insurance Regulatory and Development Authority (IRDAI) have decided to develop a National Health Claims Exchange.

• National Health Claims Exchange will be developed as a digital platform for settlement of health claims.

• IRDAI President Debashish Panda has proposed to form a working group with industry representation.

• This working group will decide how to attract as many people as possible to buy health insurance.

• Insurance Regulatory and Development Authority of India (IRDAI)

• IRDAI is a regulatory body, established under the jurisdiction of the Ministry of Finance.

• It helps regulate and licence the insurance and reinsurance industries across the country.

• It was constituted as per the Insurance Regulatory and Development Authority Act, 1999.

• IRDAI is headquartered in Hyderabad, Telangana. It was shifted from Delhi to Telangana in 2001.

• IRDAI is a 10-member body. It consists of the Chairman, 5 full time and 4 part time members. All the members are appointed by the Government of India.

• National Health Authority (NHA)

• National Health Authority implements India's public health insurance scheme named “Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)”.

• NHA was set up to implement PM-JAY at the national level.

• In states, state health agencies have been set up as a society or trust.

• SHA has been given full operational autonomy for the implementation of this scheme.