Predictive claim scrubbing
Every claim is checked against payer-specific edits, NCCI bundling rules, modifier logic and medical necessity policies before submission.
Nexra AI
The speed of AI. The judgment of experts.
Nexra AI checks every claim before a payer ever sees it, predicts which ones are likely to be denied, and points our specialists to the revenue that is easy to miss. Technology does the repetitive work. People make the decisions.
A full-spectrum engine
Intelligence at every stage of the claim.
Coding assistance
Documentation is analyzed to suggest supported codes and flag gaps, such as missing specificity or E/M elements, for certified coder review.
Denial risk scoring
Claims that match historical denial patterns are scored and routed to a specialist before submission, not after the denial arrives.
Underpayment detection
Payments are compared to expected reimbursement so short-pays are caught and recovered automatically.
Smart work queues
A/R and denials are prioritized by value, deadline and likelihood of recovery, so effort goes where it pays.
Revenue insights
Trends in payers, denials and coding are surfaced early and translated into clear recommendations.
Pre-submission defense
Human-in-the-loop by design.
AI never submits a claim on its own. Every flag is reviewed by an experienced specialist.
01
Encounter captured
Charges and documentation pulled from your EHR.
02
AI review
Edits, coding checks and denial risk scoring run instantly.
03
Specialist review
Flagged claims are corrected by a certified biller or coder.
04
Clean submission
Claims go out clean, usually within 24 hours.
05
Continuous learning
Every payer response refines the rules for the next claim.
Gets smarter every day
A feedback loop that keeps denials from repeating.
When a payer denies a claim, the reason is analyzed, the pattern is captured and a new check is added, so the next claim with the same issue is caught before it goes out. Payer policy changes are monitored and folded into the rules continuously.
Claim deniedPattern analyzedRule updatedPrevention active
What the engine learns from
Clinical documentation
Remittance advice (ERA/EOB)
Payer policy manuals & LCDs
Historical appeals & outcomes
Denial patterns by payer
Secure by design
Your data stays protected.
- Patient data is processed under HIPAA safeguards and our BAA
- Your data is never sold or shared with third parties
- Encrypted in transit and at rest
- Access limited to the team members working your account
“Your data. Our intelligence. Faster, cleaner payments.”
Schedule a Nexra AI demoReady to uncover hidden revenue?
Schedule a free consultation and see what Nexra AI and our specialists find in your claims.