Hospitals, clinics and labs that bill insurers
Nexaa Insurance
Care is given. Claims get paid.
The revenue cycle for insured care: coverage, authorizations, contract pricing, claims, denials and remittance on one record.
What it does
Coverage is checked and pre-authorization tracked before care is given.
Every line is priced through the payer contract in force, and edit checks run before a claim leaves.
Remittances are matched line by line, and the cash posts to Finance as one balanced entry.
Pick your role
The sandbox is seeded for the role you pick.
Billing clerkEncounters to code and claims to prepare.
Claims managerDenials to work and payers to chase.
Revenue-cycle administratorContracts, remittances and the postings to Finance.
Walk through it
A short guided path. Each step can be done in your sandbox.
A claim that gets paid
- 1Check coverage firstCoverage is checked and pre-authorization tracked before care is given.
- 2Price every line by contractEvery line is priced through the payer contract in force.
- 3Pass the edit checksEdit checks run before a claim leaves, so problems surface while you can still fix them.
- 4Submit, then match the remittanceRemittances are matched line by line, and the cash posts to Finance as one balanced entry.