Integrate Once — Stay Updated Forever

Tired of maintaining endless rules, code sets, and validation logic across multiple systems?

With Health Code Index (HCI), your integration team connects once via API — and SpesNet takes care of the rest.
 No rule maintenance. No manual updates. Just seamless, real-time clinical coding validation built right into your existing systems.

The Challenge: Endless Updates and Complexity

Healthcare coding and billing systems are notoriously complex to maintain. Your IT team faces:

  • Constant rule changes and new regulatory requirements.
  • ICD-10 updates and new CCSA revisions.
  • Scheme-specific tariffs and PMB/DTP rule changes.
  • Fragile, manually coded validation logic that breaks easily.

Maintaining these internally drains developer time, increases downtime risk, and delays critical upgrades.

HCI solves this by externalizing all validation logic to a single, secure, API-driven engine — updated automatically by SpesNet.

The HCI Solution: One Integration, Zero Maintenance

HCI’s RESTful API connects directly to your hospital information, claims, or billing system, providing real-time validation, lookup, and compliance checks — with no ongoing management required.

How it Works:

1

Your system sends coding or claim data to HCI’s API in real time.

4

The validated response returns immediately, ready for adjudication or submission.

2

HCI applies CPT-4, ICD-10, and RPL validation rules automatically.

3

PMB, DTP, and tariff checks are processed instantly.

“One API endpoint. Real-time validation. Zero operational overhead.”

Benefits for IT & Integration Teams

Outcome

What You Get

What You Get

Technical Highlights

REST API Architecture

Simple JSON payloads for fast implementation and minimal bandwidth overhead.

Flexible Endpoints

Use for lookups, validation, or batch processing — adaptable to your workflow.

Real-Time Validation Engine

Apply all clinical, billing, and scheme-specific rules on demand.

Automated Updates

All rule and code set changes pushed daily by SpesNet — no deployment required.

Secure & Compliant

Encrypted data transport, POPIA adherence, and complete audit trail.

Implementation Made Easy

Step 1 - Connect

Establish your API connection using the provided key and documentation.

Step 2 - Validate

Send sample payloads to test ICD-10, CPT-4, and RPL validations.

Step 3 - Go Live

Start processing production data securely.

Step 4 - Maintain Nothing

All updates, rules, and tariffs handled automatically by SpesNet.

Integration Support: API docs, test environment, and sandbox access available on request.

Proven Results for IT Teams

2 weeks

Deployment time

90%

Maintenance workload

0 hours

Update downtime

100% across all partner systems

Integration success rate

“Integrating HCI was the simplest project we’ve done in years.
 One connection replaced dozens of manual update cycles.”
— Lead Developer, Medical Scheme Platform

Compliance & Security at Every Level

HCI’s API design ensures total data integrity and protection:

  • POPIA-compliant data handling and encryption in transit and at rest.
  • Full audit log for every API request and response.
  • Role-based access control and token authentication.
  • Regional hosting for performance and compliance.

Supported by SpesNet

As part of the SpesNet Group, HCI benefits from a team of healthcare integration specialists who:

  • Maintain all code sets and rules daily.
  • Provide direct developer support and testing.
  • Ensure API uptime and version control across environments.
  • Offer rapid deployment guidance and technical documentation.

Start Your Integration Journey

Connect once. Validate everything.

Bring automation, compliance, and reliability into your coding and claims workflows — with no ongoing development burden.