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Nvera · Revenue Cycle

The revenue cycle, on autopilot.

For billing & RCM leaders

Claims scrub and submit themselves. Denials arrive pre-prioritized with appeals already drafted. Voice AI calls patients about balances so AR stops aging in a drawer. Your team reviews and decides — the platform does the grinding.

Today · Automated
Claims scrubbed & submitted184
Remits posted$19,200
Appeals drafted by AI7 for review
Patient balance calls made41
Needs a Human · 3 items
Denial · missing auth · $2,410Work next
Payer takeback flaggedReview
Everything elseHandled

Replaces: your billing company · your collections agency · the AR spreadsheet nobody opens — with full transparency into every claim, every day.

The Automated Pipeline

What happens to a claim when nobody has to touch it

Every step below runs continuously. Humans appear exactly twice — and both times, the work arrives prepared.

1

Charges captured Automated

Encounters flow in from Ncore the moment a note is signed — or from your existing EMR through integration. Care program billing arrives from Nsight with documentation attached.

2

Scrubbed before submission Automated

Coding conflicts, payer-specific edits, missing modifiers, eligibility mismatches — caught and corrected before the claim leaves the building, not discovered in a denial six weeks later.

3

Submitted & tracked Automated

Clean claims batch out continuously. Every claim's status is visible in real time — no calling a billing company to ask where your money is.

4

Remits posted, payments reconciled Automated

ERAs post themselves, payments reconcile against expected amounts, and underpayments get flagged — line by line, payer by payer.

5

Denials triaged, appeals drafted Human reviews

Denials land in a worklist ordered by dollar value and win probability, with the clinical context attached and an AI-drafted appeal ready. Your biller reviews, adjusts, and fires — minutes per appeal instead of an hour.

6

Patient balances worked by voice AI Automated

Courteous AI calls and texts about balances, payment plans set up in conversation, statements that actually get followed up. The AR your staff never gets to — worked every single day.

7

You watch it all happen Human decides

Dashboards show collections, denial rates, AR aging, and payer behavior in real time. You set the rules; the platform runs them; nothing hides.

Denials worked with the whole story attached.

Because Nvera shares a patient record with the chart, the eligibility check, and the care programs, every denial arrives with its clinical context one click away — not one phone call, one fax, and one week away. That's the structural advantage a standalone billing system can never have.

  • Worklists ranked by recoverable dollars — your team always works the highest-value item next
  • AI-drafted appeals with evidence attached — the note, the eligibility record, the documentation, assembled automatically
  • Denial patterns fed back upstream — what payers deny becomes what the scrubber catches next time
Appeal · Drafted by AI
Denial reason · medical necessity$1,840
Clinical evidence attachedNote + vitals
Appeal letter draftedReview & send

AR that never sleeps.

Patient responsibility is the fastest-growing and worst-worked part of practice revenue — because calling patients about money is the task every staff member avoids. The platform's voice AI does it gladly, courteously, and consistently, every day.

  • AI balance calls and texts — respectful, compliant, and never annoyed by the hundredth call of the day
  • Payment plans set up in conversation — the AI negotiates within rules you define
  • Every touch documented — recordings, transcripts, and outcomes logged against the account
  • Insurance follow-up too — aging insurance AR chased on schedule, statuses pulled, notes written
Patient AR · Worked by AI
Hi Jane — you have a balance of $86 from your March visit. Would you like to pay today or set up a plan?
Payment plan · $43 × 2Agreed
Card on file · confirmedLogged

Run it yourself — or hand us the keys.

Nvera sells two ways. As software, your billing team runs the pipeline with the AI as their leverage. As a managed service, our RCM team runs it for you on the same platform — with every claim, every appeal, and every dollar visible to you in real time. Either way, you never lose sight of your own revenue again.

  • Software edition — your team, our automation, full margin
  • Managed edition — our RCM team runs it, you watch everything live
  • Switch anytime — same platform, same data, different driver
Your Dashboard · Always On
Collections MTDLive
Denial rate · trendBy payer
AR aging · 0/30/60/90By bucket
Every claim, drillableNo black box

Nvera, answered.

Can this replace our billing company?+
That's the design. Either your team takes billing back in-house with the automation doing the heavy lifting, or our managed RCM team takes over on the same platform. The difference from a traditional billing company: you see every claim, every appeal, and every dollar in real time — no monthly PDF, no black box.
What do humans still do?+
Judgment. Reviewing and firing appeals, deciding on write-offs and takebacks, setting the rules the automation runs under. The pipeline is built so a small team supervises a large volume — clicking approve on prepared work instead of hunting through spreadsheets.
Do we need the other modules for Nvera to work?+
No — Nvera runs standalone and integrates with your existing EMR for charge capture. The other modules make it stronger: Nsure prevents denials upstream, Ncore feeds clean coded encounters, and Nsight's program billing arrives pre-documented. But the door in is just Nvera.
Are the AI payment calls compliant?+
The AI identifies itself, follows the contact rules and scripts you approve, honors do-not-call requests immediately, and records and logs every interaction — which makes your collections activity more consistent and more auditable than manual calling, not less. Your compliance lead can review every script before it ever dials.

Watch a denial become an appeal in under a minute.

Bring your denial rate and your AR aging to the demo. We'll show you exactly what the pipeline would do with them — and price it before you hang up.