---
title: "Healthcare"
description: "Document Processing reads faxed referrals, records and claims, low-quality scans included. Drex triages denials, prior auths and patient messages."
canonical: "https://nace.ai/industries/healthcare"
updated: 2026-11-06
---

# Healthcare

> Document Processing reads faxed referrals, records and claims, low-quality scans included. Drex triages denials, prior auths and patient messages.

## Clinical and claims paperwork, structured and triaged.

Document Processing reads faxed referrals, records and claims, low-quality scans included. Drex triages denials, prior auths and patient messages.

Runs on: Document Processing (reads), Drex (decides).

| Value | Result | Source |
| --- | --- | --- |
| 36 | file types, faxes and scans included | [Perception evaluation](https://nace.ai/perception) |
| #1 | on grounding in Nace's Perception evaluation | [Perception evaluation](https://nace.ai/perception) |
| <200 ms | model latency per decision, not end-to-end workflow time | [Drex benchmarks](https://nace.ai/drex) |

## Revenue waits on paperwork no one has had time to read.

Referrals arrive by fax, denials arrive as remits, and prior auths need evidence from the chart. Nace turns each into structured data and makes the first call, so staff work a ranked queue.

## Where Nace fits

Each workflow names the model that does the work.

| Workflow | What it does | Model |
| --- | --- | --- |
| Fax and referral intake | Faxed referrals turned into structured patient, provider and order data. | Document Processing |
| Claims and EOB extraction | CMS-1500, UB-04 and EOB line items, with every code and amount cited. | Document Processing |
| Denial triage | Each denial categorized: appeal, correct and resubmit, or write off. | Drex |
| Prior auth criteria | Evidence pulled from the record and checked against each criterion, for a clinician to confirm. | Document Processing + Drex |
| Coding validation | Claims flagged where the codes may not match the documentation. | Drex |
| Patient message routing | Each patient message sent to the right team at the right urgency. | Drex |

## Denial management, end to end

1. Remits in: EOBs and denial notices
2. Document Processing reads: Denial reason and claim lines
3. Drex decides: Appeal, correct or write off
4. Your RCM team: Works a ranked queue
5. Drex for Search finds: Any payer rule or past appeal

What it reads: Faxed referrals, Medical records, Lab reports, CMS-1500 claims, UB-04 claims, EOBs, Prior auth forms.

## Runs where your data already lives.

Same models and the same API at every tier. Only the boundary around your data changes.

- Managed Cloud: Our GPUs, our API, a key from Console.
- Dedicated Cloud: Your own cluster in our cloud, reached over private links.
- Your Cloud: Installs in your AWS or Azure account. Data stays inside.
- On-Prem & Air-Gapped: Your datacenter, your hardware, zero outbound.

SOC 2 Type II audited. [Visit the Trust Center](https://trust.nace.ai).

## See it on your own files.

Send us a file and the decision you make on it. We'll show you the result on your own documents.

- [Get started](https://console.nace.ai/?utm_campaign=industries&utm_content=industry-healthcare_md&utm_medium=website&utm_source=nace.ai)
- [Talk to sales](https://nace.ai/contact?source=industry-healthcare)

Related industries: [Insurance](https://nace.ai/industries/insurance) · [Government](https://nace.ai/industries/government) · [Professional services](https://nace.ai/industries/professional-services)

## For agents

- [Drex API guide](https://nace.ai/drex.md): the decision model: request shape, question types, benchmarks and deployment, as markdown
- [Decision endpoint](https://console.nace.ai/v1/systemone): POST with model "drex-latest", a state string and typed questions (choice, noul, score); https://console.nace.ai/v1/models lists checkpoints
- [Document endpoints](https://console.nace.ai/v1/documents/{parse|split|classify|extract|ground}): POST a source (a public URL, an uploaded workspace file or a finished parse job) and poll GET https://console.nace.ai/v1/documents/jobs/{id}; the same key and credit as decisions
- [Console](https://console.nace.ai): API keys, the playground, usage and billing; send `Authorization: Bearer $NACE_API_KEY` on every request
- [Console docs](https://console.nace.ai/docs): quickstart, question types, the document routes, errors, limits and pricing
- [Nace Document Processing](https://nace.ai/perception.md): the Perception series: parse, split, classify, extract and ground any file type with a location on every value
- [Drex for Search](https://nace.ai/drex/search.md): Drex for Search: decision-powered retrieval for agents, Drex finds the page, cited search through the CLI, SDKs, MCP and REST, and the public benchmark ranks
- [Industries](https://nace.ai/industries.md): Nace by industry: the files Document Processing reads and the decisions Drex makes for accounting, banking, mortgage, insurance, legal, healthcare, government, construction, logistics and professional services
- [Developers](https://nace.ai/developers.md): The execution layer for agents: Perception, Decision and Search behind one key, the Drex Max frontier, install steps, a scripted agent session and the four deployment boundaries
- [Site index](https://nace.ai/llms.txt): every page on nace.ai; append `.md` to any page URL or send `Accept: text/markdown` for the markdown version
