Features overview

Nexum is software for clinical laboratories and lab revenue cycle teams. This page lists product areas in plain language.

Positioning

Layer	Status	What it means
Lab RCM	Live	Preprocessing through payments, denials, and reporting
Lab ops tooling	Live	Work items, multi-client admin, mappings, enrollments
LIS	Building	Orders, accessions, specimens, results on the same platform

Nexum is not a therapy EHR and not a research LIMS. It is for diagnostic lab operations and getting paid for lab work.

What lab buyers care about

Industry RCM and LIS buyers repeatedly prioritize:

1. Fewer denials — incomplete front-end data is a major denial driver
2. Faster reimbursement — clean claims and visible AR
3. LIS ↔ billing integration — avoid rekeying and broken exports
4. Automation with control — queues and rules billers can run
5. Visibility — who owns work, what is stuck, denial patterns

Nexum’s modules map to those outcomes below.

Revenue cycle workflow

Area	What you do
Ingest	Bring accessions and claim-related data into Nexum (including CSV).
Preprocessing	Work billable, do not bill, and workman’s comp queues. Match patients. Fix intake before scrubbing.
Claim scrubbing	Clean claims before payer submission.
Submitted claims	Track billed, paid, denied, missing information, documentation request, write-off.
Documentation request	Send document needs to the client lab; track return.
Payments	Post remits, resolve unmatched payments, reconcile.
Do not bill	Hold work that should not go to a payer.
Eligibility	Coverage checks and related discovery workflows (where configured).
Enrollment	Track payer enrollment for eligibility, professional claims, and ERA so claims are not submitted before the lab is enrolled.

Work management

Area	What you do
Work items	My items, all items, rules, work item types.
Cases / bills	Billing-centric views of work in flight.
Canned comments	Standard biller notes.

Reporting

Report	Focus
Dashboards / overview	Client and account health
AR aging	Aging and follow-up
Denials	Denial patterns
Biller production	Throughput and activity
Unresponsive claims	Stalled follow-up
Payer analysis	Payer performance
ICD10 analysis	Diagnosis-related views
Forecast	Forward-looking billing
Sales reps	Rep-oriented reporting where configured

Setup & administration

Area	What you configure
Patients	Shared patient identity across workflows
Mappings	Insurances, procedures, tests
Fee schedules	Client fee configuration
Users & roles	Access by client and permission
Clients	Multi-client / multi-lab operations
Integrations & feature flags	Environment and module controls

Laboratory information system (direction)

Nexum is expanding into a clinical LIS domain so lab fulfillment and revenue cycle share:

• Orders and accessions
• Specimens, tests, analytes, results
• Canonical patients, providers, and payers
• A data path from what the lab performed → what gets billed

This attacks denials at the source: bad or incomplete operational data never becomes a claim problem later.

Training

Start with Getting started and Preprocessing. Public docs double as sales proof and internal training.