NexusClaim AI
by Louder IT SolutionsCatch claim errors before Medicare and Medicaid do.
NexusClaim AI reviews every claim before it's submitted. It flags issues likely to cause a rejection and tells your billers exactly how to fix them. It's built for physical therapy centers and other small healthcare practices.
- 97110 Therapeutic exerciseUnits and documentation matchPass
- 97140 Manual therapyModifier may be required when billed with 97530Review
- Timed unitsBilled units exceed total timed minutesFix
- Plan of careCertification date missingFix
Rejected claims are a cash-flow problem small practices can't afford.
Every rejection means rework, delayed payment, and time your staff could have spent on patients. And the rules keep changing.
Slow, costly rework
Finding why a claim bounced, fixing it and resubmitting eats hours and pushes payment back by weeks.
Complex, changing rules
Medicare and Medicaid billing rules are detailed and updated often. Keeping up is a full-time job.
Small billing teams
Smaller facilities rarely have a dedicated compliance specialist checking every claim before it goes out.
A second set of eyes on every claim.
Upload or sync
Drag and drop billing documents, or connect your EMR through our RESTful API.
AI review
AI checks each claim against Medicare and Medicaid billing rules and your claim history.
Fix with guidance
Problem areas are highlighted with specific suggested corrections.
Submit & track
Send corrected claims with confidence and track rejection trends on your dashboard.
Everything your billers need to get claims right the first time.
AI-driven analysis
Large language models examine each submission and pinpoint issues that could lead to a rejection.
Real-time recommendations
Clear, actionable feedback on errors and non-compliance, so claims are fixed before they go out.
Proactive alerts
Get notified about potential problems before a claim is submitted, not after it bounces.
Rejection analytics
A real-time dashboard of rejection rates and problem areas, with predictive trends.
Built for small facilities
A simple, responsive interface that works on desktop and mobile, with no billing department required.
Scales with you
Grows from a single clinic to multiple locations without changing how your team works.
Patient data protected at every step.
NexusClaim AI is built on Microsoft Azure with healthcare-grade safeguards.
- HIPAA-compliant storage with automated backup and restore
- Encryption for data in transit and at rest
- Two-factor authentication available for every account
- Full audit trail of user actions for accountability
- Monthly updates to keep pace with regulation and security changes
Software specifications
Core architecture
- Platform: cloud-based, built on Microsoft Azure
- AI: Azure-hosted large language models
- Integration: RESTful APIs for existing EMR systems
Billing analysis engine
- Automatic detection of billing discrepancies
- Checks against Medicare and Medicaid billing rules
- Proactive alerts before a claim is submitted
Feedback & correction
- Highlights problem areas in each claim
- Suggested fixes based on history and AI analysis
- Integrated workflow for corrected claims
Interface & data management
- Responsive on desktop and mobile, with drag-and-drop uploads
- Real-time dashboard of rejection rates and problem areas
- Advanced search across past claims
Reporting & analytics
- Customizable reporting suite
- Predictive analytics on rejection trends
- Charts, histograms and heat maps of billing performance
Support & training
- 24/7 support by phone and email
- Knowledge base with how-to articles and videos
Find out how many of your claims NexusClaim AI would have caught.
Book a demo and we'll walk through NexusClaim AI using real-world claim scenarios from practices like yours.