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 leading healthcare organizations nationwide
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.
Denied annually in the US
Of denials never appealed
Average denial rate
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.
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
CLM-4821
UHC · CO-50
$4,280
High PriorityCLM-4819
Aetna · CO-197
$2,150
Needs ReviewCLM-4815
BCBS · CO-16
$6,720
In AnalysisAppeal 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
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 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
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.
Arthroscopy, knee, meniscectomy
Medial meniscus derangement
Effusion, right knee
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
UnitedHealthcare
Commercial Payer
Approval Rate
87%
Avg. Days
32
Denial Rate
5.2%
Blue Cross Blue Shield
Commercial Payer
Approval Rate
92%
Avg. Days
28
Denial Rate
3.8%
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.
Reduction in denial rate
Return on investment
Less time on denials
Days faster collections
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.”
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.”
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.”
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.
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.
AI Analyzes Every Denial
Our AI engine identifies root causes, calculates recovery probability, matches payer rules, and prioritizes your worklist — automatically, within minutes.
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.
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.
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.