Solutions · Healthcare
Stop revenue leakage before the claim goes out.
Complex contracts, clinical documentation and payer rules make manual pre-billing slow and leaky. Nace's billing agent audits every encounter against the contract before submission — recovering missed fees while keeping clinical integrity, patient data security and regulatory compliance in sync.
Why now
The hidden cost of manual billing.
Only 68% of manually generated invoices are perfectly accurate, and 16% suffer from revenue leakage — on average $200 per invoice lost to missed fees and miscalculated line items. In healthcare, every one of those errors also carries compliance risk. The fix isn't more review passes; it's auditing from the source.
Capabilities
What the agent does for your team.
Unbiased data ingestion
The agent ingests only the raw source files — encounter data, orders, documentation — not your team's drafted claim, so errors don't get inherited.
- Universal file support across EHR exports, PDFs and scans
- Structured and unstructured data in one pass
- 92.6% extraction accuracy on scanned documents
Line-by-line contract adherence
The AI parses the specific payer contract stipulations for every claim line, so what's billed matches what was agreed.
- Payer-contract rules applied per line item
- Missed-charge and undercoding detection
- Miscalculation flags before submission
Context-aware documentation auditing
Claimed services are cross-referenced against the clinical documentation, catching gaps that trigger denials downstream.
- Documentation-to-charge cross-checks
- Denial-risk flags with grounded evidence
- Regulatory compliance checks built in
Human-in-the-loop transparency
Your billing team reviews flagged discrepancies before approval — with the evidence pinned to the exact source page.
- Prioritized review queue for exceptions
- Click-through provenance on every flag
- Patient data security by design
How it works
From raw files to a finished result.
- 01
Ingest raw sources
Encounters, orders, documentation and the payer contract — raw files in, no pre-processing.
- 02
Audit against the contract
Every line is checked against contract stipulations, coding rules and documentation.
- 03
Flag discrepancies
Missed fees, miscalculations and documentation gaps surface with grounded evidence.
- 04
Review and submit
Billing staff approve corrections and release clean claims — leakage caught before it leaves the building.
Under the hood
Built on the Nace stack.
Zero revenue left behind.
Audit every claim against the contract before it goes out — and keep compliance in sync.