NHCX Communication

Overview

Payers use NHCX to send communications to the hospital — queries about a claim, requests for additional information, and payment notices. You respond to these from the Communications table on the NHCX Kanban page using the communication form.

Communications

The NHCX Kanban page (/admin/hcx/nhcx/kanban) carries the case board on top and the communication log underneath it, headed Communications. The board shows only submitted cases, so a plan or coverage look-up that never became a claim gets no card. The log lists both directions — what the payer sent you and what you have replied — in a table with:

• Id — a link to the full FHIR record (errors show in red with a warning icon).
• Type — the communication API type, marked Received for a message the payer sent you (COMMUNICATION_REQUEST) or Sent for your reply (COMMUNICATION_ON_REQUEST).
• Date — when it was sent or received.
• Payer — the payer the message is with.
• Send Response — shown only for COMMUNICATION_REQUEST; opens the response form.

Sending a response

From a COMMUNICATION_REQUEST row, click Send Response to open the communication form.

1. Type — choose how the response payload is delivered: Pdf, Text, or Link.
2. Title — a title for the payload (hidden for Text).
3. Add Payload — add the response content. For PDF/Link this is the file or URL; for Text it is the message body. Instead of uploading a file, you can also use Choose from records to attach a document already stored against the patient (e.g. a prescription, consultation record, or discharge summary).
4. Submit.

The system builds a FHIR Communication resource addressed back to the payer and sends it through NHCX.

Common Issues

• Send Response not shown — only COMMUNICATION_REQUEST rows have a response action. A row marked Sent is your own reply, so there is nothing to answer.
• Error shown in red — click the Id link to view the full error details.

FAQ

Q: What is a COMMUNICATION_REQUEST? A: A message from the payer that requires a response from the hospital (e.g., a query on a claim or a request for a document).

Q: Can I send a document as my response? A: Yes. Choose Pdf and attach the file, or Link to provide a URL. You can also attach a document already stored in the patient's record using Choose from records.