Claim
The claim is where money actually moves.
APIs
| Call | Called by | Method and path | What it does |
|---|---|---|---|
| Provider: submit a claim | Provider | POST /v1/claim/submit | Provider submits the final itemised Claim bundle (Claim.use claim), or a claim query response or resubmission; NHCX routes it to the payer. |
| Payer: send the claim response | Payer | POST /v1/claim/on_submit | Payer returns interim (response.partial) and final (response.complete) ClaimResponseBundles for a claim to the provider via NHCX. |
One path, two meanings by scheme
Nothing in the envelope names the scheme, so the payer you address decides what /v1/claim/submit carries.
| Payer | What travels on /v1/claim/submit | Workflow |
|---|---|---|
| General network | A provisional discharge submission first, then the final claim | 14, then 15 |
| PMJAY | One combined discharge and claim submission. No separate discharge step exists | 15 |
Discharge and claim and PMJAY scheme rules carry the detail.
Callbacks you host
The exchange posts these to the endpoint_url you registered. Answer each with HTTP 202 first.
| Path | Hosted by |
|---|---|
/v1/claim/submit | The payer |
/v1/claim/on_submit | The provider |
Base URLs
| Environment | Base URL |
|---|---|
| Sandbox, NHCX exchange. | https://apisbx.abdm.gov.in/hcx |
| Production. | https://apisprod.nha.gov.in/hcx |
Guides that use these calls
The whole specification, with a request you can send from the page, is the Claim API reference.