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NxtPivot

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NxtPivot

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RCM software built for billers. NxtPivot works for you, not instead of you: autonomous AI agents built into a full medical billing and RCM system, made for billing companies, at a fraction of what you pay for old software. Priced per provider, scaled by claim volume, AI included. No contracts, no setup fee, no hidden fees.Big companies are using AI to try to replace billers. We built NxtPivot to make billers at least 10x more productive. Billers are hard to find and hard to train. Your knowledge is valuable, but you can't grow by charging your providers more and more. Providers don't have time to dig into billing, yet they want every dollar they're owed. They will leave you for the big companies trying to automate you, for billing companies with cheaper rates, or for the ones that give them a more personal service. The answer is AI built into the system, not bolted on. Pivot, the built-in agent, works in every step: it reads superbills and paper EOBs into claims and payments, creates and scrubs claims, finds the root cause of every denial and writes the plan to fix it, looks up past denials and codes, writes the summaries, and gets claims ready to send. This is AI chain automation, not another integration. Connect your providers' virtual mail with a webhook or a scheduled pull, and the agent picks up the new paperwork, pulls the charges, creates the claims, scrubs them and checks them against past denials, overnight. By morning your biller just reviews, edits if needed, and sends. Nothing goes to a payer until a person approves it. You take an executive role. No more tedious data entry, and new billers are productive from day one because the training is built in. Teach it how you work, chain it with your own processes, and it uses your rules every time. AI has made software far cheaper to build. Stop overpaying for outdated software. Keep your providers, grow them, and don't let the big companies replace you.

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Austin, US

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What is NxtPivot?

NxtPivot is the AI workforce for medical billing companies. 11.8% of claims get denied. 60% of those denials are never appealed, even though 70-80% of appeals win when filed. NxtPivot is the AI layer that closes that gap. We sit on top of whatever EHR your billing operation already uses (Greenway, eCW, Athena, Kareo) and run the work your team doesn't have time for: • Ask Pivot, the chat agent you talk to in plain English. Pulls any report in 10 seconds. Remembers every claim. • Vanilla reads PDFs, EOBs, faxes. Drag-drop in, structured claim out. • Cyan validates CPT, ICD-10, modifier combos before claims ship. • Pearl scrubs every claim pre-submission to catch preventable denials. • Denim ranks denials by expected recovery so your team works the highest-yield first. • Plum knows every payer's policy. Amber drafts appeals from the cited section. Apricot double-checks before they leave. HIPAA-compliant, cloud-based, audited per claim. Free leak assessment: sign a BAA, send us a report from your system, get a sized assessment back. Free of charge. info@nxtpivot.com

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Year Founded
2023
Website
nxtpivot.com