Claims Administration: Accurate, Compliant, and Efficient.
Automate payment cycles, encounters, and reconciliation with precision and transparency.
Nova simplifies claims operations through intelligent automation and reconciliation tools that improve payment accuracy and ensure regulatory compliance across delegated entities.
Capabilities
How it Works
Nova centralizes all claims and payment workflows into one seamless process, ensuring accuracy and speed from intake to audit. This automation reduces rejection rates, accelerates reimbursements, and provides executives with clear visibility into fiscal health.
Data Intake
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SFTP claim file imports
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Secure API connection to clearinghouse
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Direct upload via web portal
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Batch file validation
Validation Engine
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Eligibility and member matching
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Procedure and diagnosis code verification
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Duplicate claim detection
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File format and data integrity check
Processing & Routing
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Automated payer mapping
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Routing by line of business
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Claim status update synchronization
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Exception handling and retry logic
Reconciliation & Reporting
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Payment vs. remit matching
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Adjustment tracking
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Monthly reconciliation summary
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Secure dashboard visibility
Nova provides administrative claims support only; no fiscal or clinical decisions are made.
Benefits
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Faster claims throughput
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Improved payment accuracy
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Simplified audit preparation
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Greater financial visibility