Nova Swarm AI is a proactive Revenue Cycle Management (RCM) and Claim Recovery platform for hospital systems and insurance organizations.
Unlike traditional RCM tools that react to denials after they occur, Nova Swarm's AI monitors the full revenue cycle in real time, identifying risk before claims are submitted, recovering denied and underpaid claims at scale, and surfacing coverage opportunities for patients before service is rendered.
Key capabilities:
• Proactive denial prevention — flags high-risk claims before submission
• Autonomous claim recovery — pursues the full denied claim population, not just high-dollar cases
• Payer contract compliance monitoring — detects underpayment patterns across thousands of claims
• Front-end eligibility intelligence — converts uncompensated care into funded care before billing
• Revenue cycle intelligence dashboard — real-time visibility into leakage and recovery opportunities
Nova Swarm integrates with existing RCM infrastructure — no rip-and-replace required. Our AI acts as a tireless extension of your billing team, handling the volume that humans cannot pursue at scale.
Performance-based pricing: 20% success fee. Zero upfront cost. Zero headcount expansion required.
Target customers: Hospital CFOs, VP Revenue Cycle, RCM Directors, Insurance Carrier Claims Executives.