Complete Revenue Cycle Management
From claim creation to payment posting, manage every step of the revenue cycle in one platform. No more juggling between systems.
Claim Submission
Submit claims directly to payers through the STEDI clearinghouse. Real-time acknowledgment tracking and automated resubmission for rejected claims.
- Direct STEDI clearinghouse integration
- Real-time 277/999 acknowledgment processing
- Automated rejection handling and resubmission
- Batch and individual claim submission
- Complete submission audit trail
Payment Posting
Automated ERA 835 processing posts payments directly to claims. Manual posting interface for paper checks and patient payments.
- Automated ERA 835 payment posting
- Remittance advice parsing and matching
- Manual posting for paper checks and cash
- Patient payment recording and tracking
- Payment reconciliation and verification
Denial Management
Track denial reasons, manage appeals, and measure recovery rates. Turn denials from lost revenue into actionable intelligence.
- Denial reason code categorization and tracking
- Appeal workflow with deadline management
- Recovery rate analytics by payer and reason
- Automated denial pattern detection
- Root cause analysis dashboards
AR Recovery & Aging
Aging buckets, follow-up queues, and patient statements. Stay on top of outstanding balances with automated workflows.
- Configurable aging buckets (30/60/90/120+ days)
- Prioritized follow-up work queues
- Patient statement generation
- Automated follow-up reminders
- AR trend analysis and forecasting
Bulk Operations
Process hundreds of claims at once. Batch status updates, mass resubmission, and bulk payment posting.
- Batch claim submission and resubmission
- Mass status updates across claim groups
- Bulk payment posting from ERA files
- Export and reporting on bulk operations
- Configurable batch processing rules
Take control of your revenue cycle
See how Nexum simplifies billing from submission to collection.