Eligibilityinrealtime.Notafterthefact.
Coverage answers before the appointment starts — real-time eligibility is rolling out through US clearinghouse partners. No surprises at checkout.
Real-Time Eligibility Check
In development: enter a member ID and NexV returns coverage status, remaining benefits, and annual limits within seconds — with checks running automatically when appointments are confirmed.
- Instant carrier eligibility lookup (in development)
- Remaining benefit balance display
- Annual limit and cap tracking
- Auto-check on appointment confirmation
Gap Estimation
Before the patient arrives, NexV calculates the estimated out-of-pocket cost based on their carrier, plan tier, and the planned procedures. Front desk can communicate costs upfront with confidence.
- Pre-appointment gap calculation
- Carrier and plan tier matching
- Procedure-specific coverage lookup
- Patient-facing cost estimate printout
Multi-Carrier Support
Designed for Delta Dental, Cigna, Aetna, MetLife, UnitedHealthcare, Medibank, Bupa, HCF, nib, and other major US and Australian carriers. Carrier coverage expands as clearinghouse integrations come online — with no workflow changes.
- Major US and AU carriers via clearinghouse partners (in development)
- Medicare and Medicaid eligibility verification (roadmap)
- DVA entitlement confirmation (roadmap)
- Carrier directory maintained in-app
Ready to transform your practice?
See how NexV can streamline your workflow with a personalized demo.