Seamless Integration with Your Hospital or Scheme System
Connect once. Validate everything.
Health Code Index (HCI) integrates directly into your existing hospital, billing, or claims systems through a secure, lightweight API — giving you instant access to real-time code validation and compliance logic with no ongoing maintenance.
The Challenge: Integration Without the Headaches
Healthcare systems already have enough complexity — adding new modules or manual validation layers shouldn’t make it worse. Typical integration challenges include:
- Lengthy deployment times and high developer overhead.
- Constant rule maintenance that eats into IT capacity.
- Data security and compliance concerns with third-party systems.
- Inconsistent validation between internal and external tools.
HCI solves this with a modern, RESTf API built for healthcare — simple to deploy, secure, and always current.
The HCI Solution: One Connection, Continuous Updates
With HCI, you integrate once and let SpesNet handle the rest. All clinical, coding, and tariff rules are maintained daily within HCI — your system just connects and benefits from automated updates.
How it works
Establish a one-time API connection between HCI and your HIS, billing, or claims platform.
Send coding or claim data via secure JSON payloads.
HCI validates codes, applies clinical cross-matches, tariff, and clinical rules/guidelines.
Receives validated, compliant responses in real time.
SpesNet handles all updates automatically — no internal maintenance required.
“A single API endpoint gives your entire system live access to South Africa’s most accurate coding engine.”
Benefits of ICD-10 & CCSA/CPT-4 Validation
Outcome
What You Get
What You Get
Simple Deployment
REST API that integrates with any system — HIS, EMR, claims, or custom software.
Zero Maintenance
SpesNet manages all rule updates, code sets, and tariffs daily.
Real-Time Validation
Every coding or claim request is validated instantly at submission.
Security
Encrypted, POPIA-compliant communication with full audit logging.
Scalability
Handles millions of validations across multiple facilities or schemes.
Technical Highlights
REST API Design
- JSON request/response structure for simple implementation.
- Built for low-latency, high-volume transactions.
Flexible Endpoints
- Lookup, Validation, and Rules endpoints for various use cases.
- Batch and realtime-claim processing supported.
Developer Resources
- Sandbox environment for testing and validation.
- Online documentation with payload examples and status codes.
- Direct developer support during onboarding.
Real-Time Updates
- Daily code, rule, and tariff refreshes.
- No deployment downtime or manual patching.
Compliance-Driven Architecture
- POPIA-compliant encryption in transit and at rest.
- Full audit logs for every API call.
- Role-based access control and authentication tokens.
Integration Pathways
System Type
Integration Method
Example Use Case
Hospital Information System (HIS)
API call via middleware or integration layer
Validate coding before patient discharge
Claims Adjudication Platform
Direct API connection
Apply rules and guidelines in real time
Billing / Finance System
Scheduled validation or batch processing
Validate RPL and modifiers before submission
Custom Enterprise System
REST call with secure token
Cross-check coding rules within existing workflows
Security & Compliance by Design
HCI follows a strict privacy-by-design model:
- Fully POPIA compliant.
- End-to-end encryption for all data traffic.
- Token-based authentication and access management.
- Encrypted audit logs with detailed traceability.
- Regional hosting for optimal performance and governance alignment.
Supported by SpesNet
Your integration isn’t just an API key — it’s a partnership. SpesNet provides:
- Dedicated integration support and developer documentation.
- Access to test and sandbox environments.
- Real-time monitoring and uptime reporting.
- Proactive updates aligned with new coding or regulatory releases.
Start Your Integration Journey Today
One integration. Endless automation.
Connect your system to Health Code Index and start validating every claim and code automatically — with zero maintenance overhead.