Claims Management

Everyclaim.Trackedtocompletion.

A unified claims workspace for insurance carriers and government programs. Build, track, and reconcile every claim from a single dashboard — with electronic submission rolling out through clearinghouse partners.

NexV — Claims Management
Preview
Claims Pipeline12 active claims
Submitted
Delta Dental
$420
Cigna
$1,280
Processing
Medibank
$680
Aetna
$350
Approved
Delta Dental
$940
MetLife
$520
Bupa
$210
Paid
UHC
$1,100
Medibank
$780
01

Insurance Claims

Build, track, and reconcile claims for Delta Dental, Cigna, Aetna, MetLife, Medibank, Bupa, and other major US and Australian carriers — every claim managed in one pipeline from draft to payment. US electronic submission via clearinghouse partners is in development.

  • Full claim lifecycle: draft, submit, track, appeal
  • Denial management with reason codes
  • US clearinghouse e-submission in development — early access open
  • HICAPS terminal integration in development (AU)
Insurance Claims
Full claim lifecycle: draft, submit, track, appeal
Denial management with reason codes
US clearinghouse e-submission in development — early access open
HICAPS terminal integration in development (AU)
02

Medicare, Medicaid & DVA

On the roadmap: Medicare, Medicaid, CDBS, and DVA claiming with pre-populated patient eligibility data, plus bulk submission and reconciliation for high-volume practices.

  • Medicare and Medicaid eligibility pre-check (roadmap)
  • DVA Gold and White card processing (roadmap)
  • Bulk claim preparation
  • Reconciliation reporting
Medicare, Medicaid & DVA
Medicare and Medicaid eligibility pre-check (roadmap)
DVA Gold and White card processing (roadmap)
Bulk claim preparation
Reconciliation reporting
03

Government Programs Pipeline

On the roadmap: NDIS claims and other government program billing with plan-managed or self-managed workflows. Service bookings, invoices, and payment tracking handled within the same interface.

  • Plan-managed billing workflow (roadmap)
  • Self-managed invoice generation
  • Service booking integration
  • Government program payment tracking
Government Programs Pipeline
Plan-managed billing workflow (roadmap)
Self-managed invoice generation
Service booking integration
Government program payment tracking
04

Rejection Management

Rejected claims are flagged with the reason code and a suggested fix. Correct and resubmit from the same screen — no back-and-forth between portals.

  • Rejection reason code display
  • AI-suggested correction prompts
  • One-click corrected resubmission
  • Rejection rate analytics by fund
Rejection Management
Rejection reason code display
AI-suggested correction prompts
One-click corrected resubmission
Rejection rate analytics by fund

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