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Now available: AI-Powered Prior Authorization
AI-Powered Revenue Cycle Management

Recover Every Dollar Your Practice Deserves

NexaClaim AI automatically analyzes denied claims, generates payer-specific appeal letters, and recovers revenue your team doesn't have time to chase. Go live in 15 minutes.

Trusted by 50+ physician groups$12M+ Revenue RecoveredHIPAA Compliant

Trusted by leading healthcare organizations nationwide

$12M+ revenue recovered for clients
R
Regional Health PartnersHealth System
S
Summit OrthopedicsSpecialty Group
P
Pacific Spine InstituteSurgical Center
L
Lakeside Medical GroupPhysician Group
P
Pinnacle Surgery CenterASC Network
V
Valley Cardiology AssociatesCardiology Practice
R
Regional Health PartnersHealth System
S
Summit OrthopedicsSpecialty Group
P
Pacific Spine InstituteSurgical Center
L
Lakeside Medical GroupPhysician Group
P
Pinnacle Surgery CenterASC Network
V
Valley Cardiology AssociatesCardiology Practice

The Industry Problem

The Revenue Cycle is Broken

Healthcare organizations lose billions annually to denied claims that never get appealed. Manual processes, complex payer rules, and overwhelmed teams mean revenue slips through the cracks every day.

$0B

Denied annually in the US

0%

Of denials never appealed

0%

Average denial rate

0 days

Average days in A/R

Your team is talented, but they can't fight every denial manually. NexaClaim AI gives them superpowers — analyzing every denial, writing every appeal, and recovering revenue that would otherwise be lost.

The NexaClaim Advantage

Why Revenue Cycle Leaders Choose NexaClaim

See how NexaClaim stacks up against legacy tools and manual processes across every dimension that matters.

Dimension
NexaClaim AI
Legacy RCM Tools
Manual Process
Setup Time
15 minutes
3-6 months
N/A
AI-Powered Analysis
Limited/None
Appeal Generation
AI-generated, payer-specific
Template-based
Manual
Recovery Rate
65%+
35-45%
20-30%
Cost Model
Pay for performance
$50K+ annual license
Staff salaries
HIPAA Compliant
Varies
Time to Value
Day 1
6+ months
Ongoing

Platform

One Platform. Complete Revenue Recovery.

From denial analysis to appeal generation, coding assistance to payer intelligence — everything your revenue cycle team needs in a single, intelligent platform.

AI Denial Analysis

Understand why claims are denied in seconds, not hours. Our AI engine identifies root causes, calculates recovery probability, and prioritizes your highest-value denials automatically.

  • Automatic root cause classification across clinical, administrative, coverage, and technical categories
  • AI-calculated recovery probability score for every denial — know where to focus your team
  • Real-time prioritized worklist that surfaces high-value, high-probability denials first
P1

CLM-4821

UHC · CO-50

$4,280

High Priority
Recovery Probability92%
P2

CLM-4819

Aetna · CO-197

$2,150

Needs Review
Recovery Probability87%
P2

CLM-4815

BCBS · CO-16

$6,720

In Analysis
Recovery Probability74%

Appeal Generation

AI writes payer-specific appeal letters that win. Every letter is backed by clinical evidence, regulatory citations, and payer policy references — generated in under 30 seconds.

  • Payer-specific language and formatting that matches each insurer's review criteria
  • Automatic inclusion of LCD/NCD references, CMS guidelines, and clinical evidence
  • One-click PDF export with professional formatting ready for submission
Appeal Letter Preview
AI Generated

RE: Appeal for Claim #CLM-4821

Dear Claims Review Department,

Clinical Evidence (Auto-Attached)

Per LCD L38873, the medical necessity for CPT 29881 is supported by documented MRI findings showing...

AI writing...
Export PDF
Edit Letter
Regenerate

AI Coding Assistant

Code 5x faster with AI that shows its reasoning. Our coding engine analyzes clinical documentation and suggests CPT and ICD-10 codes with evidence-linked confidence scores.

  • Evidence-mapped code suggestions that highlight the exact clinical text supporting each code
  • Automatic bundling conflict detection and modifier recommendations
  • Payer-specific validation that flags likely denials before submission
Clinical Document

62-year-old male presents with progressive right knee pain...

MRI revealed complex medial meniscus tear (posterior horn) with associated joint effusion.

Patient underwent arthroscopic meniscectomy under general anesthesia.

CPT29881
Primary

Arthroscopy, knee, meniscectomy

96%
ICD-10M23.321

Medial meniscus derangement

94%
ICD-10M25.461

Effusion, right knee

88%

Payer Intelligence

Know every payer's rules before you submit. Our continuously updated payer rules database and AI-powered matching engine prevent denials before they happen.

  • Searchable database of payer-specific coverage rules, LCD/NCD requirements, and prior auth criteria
  • AI-powered rule matching that flags claims at risk before submission
  • Aggregated payer scorecards showing approval rates, payment timelines, and denial patterns
UHC

UnitedHealthcare

Commercial Payer

Approval Rate

87%

Avg. Days

32

Denial Rate

5.2%

BCBS

Blue Cross Blue Shield

Commercial Payer

Approval Rate

92%

Avg. Days

28

Denial Rate

3.8%

AETNA

Aetna

Commercial Payer

Approval Rate

79%

Avg. Days

41

Denial Rate

8.1%

Built for Your Team

Built for Every Revenue Cycle Role

Whether you're a CFO tracking financial performance or a coder navigating complex documentation, NexaClaim AI adapts to your workflow.

CFO / VP Finance

See exactly where revenue is leaking and how much AI is recovering. Real-time dashboards, trend analysis, and AI impact reporting give you complete financial visibility.

$1.24M recovered in 6 months

avg. customer result

RCM Director

Give your team AI superpowers — analyze every denial, appeal every dollar. Prioritized worklists, automated assignments, and one-click appeal generation eliminate bottlenecks.

85% appeal rate

up from 30% manual

Medical Coder

Code 5x faster with AI suggestions backed by clinical evidence. Every suggested code links to the exact documentation supporting it, with payer-specific validation built in.

5x coding speed

30 min → 6 min per case

Auth Specialist

Cut prior auth turnaround from days to hours. AI pre-fills authorization requests, checks medical necessity criteria, and tracks status across every payer in one view.

72% faster auth

10 days → 2.8 days avg.

Proven Results

Measurable Impact From Day One

NexaClaim AI customers see results within the first month. These are real metrics from organizations just like yours.

50%

Reduction in denial rate

19x

Return on investment

70%

Less time on denials

15-20 days

Days faster collections

Metric
Before NexaClaim
With NexaClaim
Impact
Denial Rate
8%
3.2%
-60%
Appeal Rate
37%
85%
+130%
Win Rate
40%
78%
+95%
Days in A/R
55
38
-31%

Customer Stories

Trusted by Revenue Cycle Leaders

Hear from the CFOs, RCM Directors, and coders who rely on NexaClaim AI to recover revenue and transform their workflows.

For the first time, I can see exactly where revenue is leaking and quantify what our AI investment is recovering. The executive dashboard alone justified the cost within the first month.

SC

Dr. Sarah Chen

CFO · 120-Physician Multi-Specialty Group

My team went from drowning in denials to proactively preventing them. We appeal 85% of denials now — up from 30%. NexaClaim gave my team superpowers without adding headcount.

MG

Maria Gonzalez

RCM Director · 85-Physician Orthopedic Practice

I used to spend 30-45 minutes per complex case. Now I get AI-suggested codes with evidence highlights in seconds. My accuracy went up and my burnout went way down.

JW

James Whitfield

Senior Medical Coder, CPC · Regional Surgery Center Network

Getting Started

Go Live in 15 Minutes

No integration project. No IT team required. Upload your data and start recovering revenue today.

1

Upload Your Denial Data

Drag and drop your EDI 835 files or connect your clearinghouse. NexaClaim ingests your denial data in seconds — no integration project required.

2

AI Analyzes Every Denial

Our AI engine identifies root causes, calculates recovery probability, matches payer rules, and prioritizes your worklist — automatically, within minutes.

3

Recover Revenue Automatically

AI generates payer-specific appeal letters, your team reviews and submits, and recovered revenue flows back to your bottom line. Track every dollar.

Integrations

Works With Your Existing Systems

NexaClaim integrates with the EHR, practice management, and clearinghouse platforms you already use. No rip-and-replace required.

Epic
Cerner
athenahealth
Availity
Change Healthcare
Waystar
Office Ally
Trizetto
EDI 835/837 compatible with all major clearinghouses

Security & Compliance

Enterprise-Grade Security. HIPAA Compliant.

Built from the ground up for healthcare. Your patient data is protected by the same standards used by the nation's largest health systems.

HIPAA
SOC 2In Progress
HITRUSTPlanned
AES-256
TLS 1.3
BAA

Encryption Everywhere

AES-256 encryption at rest and TLS 1.3 encryption in transit for all data. PHI is encrypted at the column level using Supabase Vault.

Complete Data Isolation

Row-level security policies ensure complete data isolation between organizations. Every query is scoped to your organization automatically.

Signed BAAs

Business Associate Agreements signed with all infrastructure providers — Supabase, Vercel, OpenAI, and Anthropic.

Immutable Audit Trail

Comprehensive audit logging captures every PHI access event. Logs are immutable and retained for 7+ years for compliance reporting.

Stop Leaving Revenue on the Table

Join 50+ physician groups who have recovered millions in denied revenue with NexaClaim AI. Get started in 15 minutes with a free denial audit.

No credit card required. See results in under 24 hours.