The product
Every chapter
of the engine.
From the contract to the recovered dollar — how Nuvae works, module by module. Each chapter below is a real workflow, shown the way it runs in the product.
A new category, not another tool
The Recovery Loop.
Prevent, detect, recover — feeding back into each other as one continuous loop, not three disconnected steps.
Proactive — verified before the claim is submitted, not chased after a denial.
Layered — three connected layers working as one system, not one bot doing everything.
Integrated — reads what your RCM already produces, no systems migration.
Human-reviewable — every recovered dollar traces back to the contract or policy that proves it.
How Nuvae works
Three layers.
One system.
Revenue leaks at three points in the cycle. Nuvae closes all three — as one connected system, not three separate tools.
Prevent
Front-end verificationIntercepts eligibility errors and authorization gaps before a claim is ever generated.
Eligibility-related errors drive roughly 1 in 4 initial denials. Nuvae replaces fragmented, manual payer-portal checks with automated verification — cutting routine manual transaction time by 75%.
Detect
Mid-cycle analytics & matrix complianceCross-references 100% of incoming remittance data against multi-tiered contracted rate matrices, in real time.
Payers routinely underpay via quiet system adjustments and proprietary edits. Nuvae's engine catches the micro-leakage human audit teams miss, and maps compliance trends instantly.
Recover
Back-end appeal scale & small-balance captureDeploys generative legal and clinical logic to appeal complex denials and capture unworked balances at scale.
RCM teams write off 60–70% of valid denials to labor shortage alone, abandoning low-balance accounts entirely. Nuvae compresses appeal drafting from hours to minutes — making both high-value exceptions and small-balance claims worth pursuing.
Chapter 01 — Contracts
It all starts with
the contract.
The rates you fought for are buried in PDFs. Nuvae digs them out — and puts them to work.
Like Drive.
But it reads everything.
Drop in every payor contract. Nuvae classifies it, tracks versions, and never forgets a deadline.
Everything a contract team wishes it had
One repository. Four superpowers.
Create. Manage. Model.
Build rate sheets from any contract. Model a new one before you sign it — and see what it does to revenue.
Your contracts, charted.
Which payor pays best. Which service line leaks. Which contract quietly got worse. One glance.
Deadlines find you first.
Renewals, escalators, termination windows, filing limits. Nuvae reads the dates and taps your shoulder in time.
Old rates cost real money.
Rates that haven't moved in years get flagged against today's market and government benchmarks — with the dollar impact attached.
Stale rate detection
Rates go stale.
Nuvae notices first.
Every rate is checked against time, market, and Medicare. The moment one falls behind, you know what it's costing you.
Updated 2026$21,480CURRENT
Updated 2023$1,940STALE · −$412K/YR
Updated 2022$1,212STALE · −$188K/YR
Updated 2026$1,142CURRENT
Updated 2024$48DRIFTING · −$61K/YR
Government rate crawler
Medicare moved.
You already knew.
Nuvae crawls government fee schedules automatically — Medicare, Medicaid, Medi-Cal, TRICARE — and reprices your world the moment they change. No downloads. No spreadsheets. No surprises.
The payoff
All of it adds up to one number.
annual value from contract analytics alone, at a $300M-NPR healthcare provider — mid-path, year one.
Underpayment recovery. Rate negotiation uplift. Analyst time back.
Chapter 02 — The assistant
Not sure which module
has the answer?
One assistant spans every module — contracts, denials, eligibility, claims, rates. If you're unsure where to look, just ask. Every answer shows which tools it used and which page it read. No black box.
Chapter 03 — Eligibility verification
Verified before the
patient sits down.
Roughly one in four front-end denials starts here. Eligibility used to mean 3–5 minutes per check across payer portals and phone trees — Nuvae's agent calls the payer and checks the portal at the same time, and returns a report in seconds.
It calls. It waits. You don't.
It checks the portal too.
One report. Both sources. Seconds.
Phone and portal answers reconciled into a single eligibility report — attached to the visit before check-in.
Chapter 04 — Appeal generation
Denied is not
the end.
Fewer than 1 in 3 denied claims is ever appealed — yet properly pursued appeals win 57–82% of the time. The constraint was never the law, it was the hours per letter. Nuvae drafts in minutes, so your team fights the claims that were being written off, not just the big ones.
Approved by your team, filed with the payer. $14,208 back in play.
Chapter 05 — The AR agent
It sits on hold.
So nobody else has to.
Unpaid claims age out in phone queues. Nuvae's voice agent works the list all day — dials the payer, asks the questions, documents every answer.
Aetna provider line
Chapter 06 — Claims intelligence
Every claim priced twice.
Before the payer pays once.
Two independent rate engines price every claim against your contract. If they disagree by even a dollar, a human sees it. If the payer disagrees, Nuvae does.
Chapter 07 — Rate calculator
Price any service
before you bill it.
Pick a payer contract and a service — Nuvae returns the contracted rate, the Medicare benchmark, and the variance in real time. The same dual-engine model that powers leakage detection and the claims-queue check.
CALCULATED BY THE SAME ENGINE USED ACROSS CLAIMS AND LEAKAGE DETECTION
Chapter 08 — Analytics
Type a question.
Get a dashboard.
No report builder. No ticket to the data team. Describe the chart you want, in plain English, and it appears on your dashboard — live.
And the rest
Quietly doing their job.
Clinical documentation checked against guidelines before coding gaps become denials.
Ask across your contracts, Medicare and Medicaid policy, and state regulations — with cited answers.
Policy and requirement changes from payers, summarized and routed before they bite.
Feature flags and per-tenant configuration let every healthcare provider in a system turn modules on independently.
Role-based access on every screen, PHI never written to logs, and a full audit trail on every record touched.
EDI 835/837, UB-04, FHIR. Nuvae reads the feeds your systems already produce.
Chapter 09 — The business case
Three modules.
One connected number.
Prevention, detection, and recovery — the full arc of revenue leakage. Eligibility reduces denials entering the system. Contract analytics recovers revenue on claims paid at the wrong rate. Appeals recover revenue on claims that weren't paid at all. Each module is independent and additive.
Ranges are grounded in observed deployment patterns, not aspirational projections — a starting point for discovery, not a quote. The real number comes from your claim volume, payer mix, and current denial rates.
Common questions
Questions healthcare providers ask before they switch.
- Does Nuvae replace our existing RCM systems?
- No. Nuvae sits on top of the RCM you already run — reading what your systems already produce and adding a layer of verification, detection, and recovery. Nothing gets ripped out.
- Which EHR/PMS platforms does Nuvae work with?
- Nuvae is purpose-built for US healthcare systems and works with Epic, Cerner, Meditech, and more — via secure API, FHIR, HL7, or file-based integrations.
- How long does implementation take?
- Deployments are measured in weeks, not years. Most healthcare providers start with a focused pilot on one module before expanding to the full system.
- Is Nuvae HIPAA compliant?
- Yes. Nuvae is HIPAA compliant and SOC 2 Type II certified, with a signed BAA for every customer. See our Trust Center for the full security and compliance posture.
- Is on-premise deployment available?
- Yes. Nuvae runs cloud-hosted by default, with an on-premise option available for health systems with strict data-residency or network-isolation requirements.
See your leak.
Send one month of remits and your top three contracts.
We'll return the number. It's yours either way.