The Complete AI Revenue Cycle Platform
Six integrated modules powered by multi-model AI. From claim submission to revenue recovery, NexaClaim automates your entire revenue cycle with explainable, auditable intelligence.
Six Modules, One Platform
Every piece of your revenue cycle, connected and powered by AI that learns from every interaction across our network.
How It All Connects
A continuous loop from claim ingestion to revenue recovery, powered by AI at every step.
Ingest
EDI 835 files, manual claims, and clearinghouse feeds flow into one unified pipeline.
Analyze
Multi-model AI identifies root causes, scores recovery probability, and detects coding gaps.
Act
Generate appeal letters, correct codes, and submit prior authorizations automatically.
Recover
Track outcomes, measure AI impact, and continuously improve your revenue cycle.
Works With Your Existing Stack
NexaClaim integrates with major clearinghouses, EHR systems, and payer portals. No rip-and-replace required.
V1 supports EDI 835 file upload. Direct API integrations and FHIR R4 connectors available in Phase 2.
Built on Enterprise-Grade AI
Multi-model intelligence, transparent reasoning, and healthcare-grade security from the ground up.
Multi-Model AI
GPT-4o for clinical NLP, Claude for appeal writing, and specialized models for classification. Automatic fallback ensures uptime.
Explainable Decisions
Every AI suggestion includes evidence spans, confidence scores, and reasoning chains. No black-box outputs.
HIPAA Compliant
End-to-end encryption, row-level security, PHI redaction in logs, signed BAAs with every vendor, and immutable audit trails.
Continuous Learning
Aggregated, anonymized payer data across the network creates a compounding intelligence advantage that improves every customer.
Ready to Transform Your Revenue Cycle?
See how NexaClaim AI can reduce denials, accelerate collections, and recover lost revenue for your organization.