Frequently Answered Questions (FAQs)

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The Health Claims Exchange Protocol is an open, collaborative, and transparent mechanism for exchanging health claims data within the health benefits ecosystem. It aims to simplify the process of searching and comparing health benefits, making claims, and sharing progress by enabling seamless data exchange between various actors involved in availing of health benefits.

Anyone interested in improving the efficiency and effectiveness of claims handling in the health benefits sector can participate in the HCX protocol community. The HCX Protocol community will be of particular interest to a diverse range of stakeholders within the health benefits ecosystem. This includes payers/insurers, providers, third-party administrators, technology service providers, think tanks, and other entities that want to improve the effectiveness and efficiency of claims handling in the health benefits sector.

There are several ways to contribute to the HCX Protocol community. You can start by reviewing the protocol documentation. You could also participate in the weekly discussions, contribute to specific workstreams, help develop specific standards, and be a crucial part of the decision-making process.

While the HCX Protocol originated with a focus on cashless insurance claims, the community is actively working towards expanding the protocol's scope to address claims handling challenges in other areas of health benefits.

To join the HCX Protocol community visit our GitHub and explore the available resources. You can also sign up for our community Discord channel to chat with fellow community members, contribute to specific workstreams, and keep up with all the latest happenings. We urge you to take an active role and share your knowledge to positively impact the health benefits ecosystem.