Nextcore · Industries · Healthcare

Healthcare.Less back office. More care.

We take on the billing, posting, and coordination work that keeps staff behind screens, for surgery centers, specialty groups, and rural practices. Clinicians make every clinical decision.

Insurance posting, start to finish · Precise Mark Surgery is fictional · every number is invented

NextOS in a surgery centerReal NextOS features · fictional practice · sample data

Built for the
billing office.

01 · Routines · Every weekday at 6 AM

Posting runs on a locked routine.

The daily insurance posting routine reads the EOBs and bank files, matches every deposit to the cent, and prepares the batch before your team arrives. It runs the tested, approved version every time.

  • Frozen, versioned playbook
  • Read-only access to the EMR and banks
  • No posting without approval
02 · EMR logins · Kept signed in

EMR logins that stay working.

When the EMR signs an agent out at one location, NextOS signs it back in, authenticator code included, and records every step. Your staff never share a password with an agent.

  • Both locations kept signed in
  • Passwords stay in the vault
  • Login reliability you can see
03 · Take control · In your EMR

Watch the agent in your EMR. Take the wheel.

See the agent's screen as it looks up a patient's coverage. Take control to fix a detail yourself, and the agent pauses. Hand it back and it finishes the job.

  • Live screen of every lookup
  • Agent pauses while you drive
  • Hand-off recorded
04 · Needs attention · One inbox

Held payments and missing records, in one list.

Payments without a matching deposit, recoupments, sign-ins that need a person, referral packets missing a record. Each item opens exactly where it's fixed.

  • Nothing hidden, nothing guessed
  • Opens where it's fixed
  • Resolved items leave a record
05 · Audit · Every action recorded

Every action in your EMR, on the record.

Every lookup, download, and sign-in is recorded with who started it. Actions outside policy are refused, with the rule that refused them.

  • Who, what, and where
  • Refusals with their rule
  • Evidence for your auditors
06 · Sign-in · Codes included

Sign in to the EMR and payer portals.

Give each agent its own login to the EMR, bank portals, and payer sites. Authenticator and emailed codes are handled. When a portal texts a code to a phone, NextOS stops and asks.

  • Dedicated assistant logins
  • Location chosen at sign-in
  • Stops instead of guessing
What we take onThe work behind the work

Billing and coordination,
handled.

01

Insurance payment posting

Read EOBs and remittances, match them to bank deposits to the cent, look up each patient in the EMR, and prepare entries for review.

02

Patient and coverage lookups

Check insurance and account details across locations, without staff toggling between systems.

03

Referral intake and records

Capture referrals from fax, email, and phone, gather records against your checklist, and chase what's missing.

04

A morning questions queue

Draft answers to routine physician and staff questions for review each morning.

05

Audit preparation

Independent sample checks of completed work, with evidence ready for your auditors.

How we do itHuman at the right layer

AI does the routine.
Your people own the calls.

AI does

The routine layer

  • Reads EOBs and remittances
  • Matches payments to deposits
  • Looks up patients and coverage
  • Gathers and organizes records
People decide

The judgment layer

  • Every clinical decision
  • Payer disputes and adjustments
  • Anything the playbook can't settle
A named owner approves

The approval layer

  • Nothing changes the books without your billing lead
  • Every action recorded
  • Exceptions listed, never hidden
Another exampleProposed pilot

Getting patients seen,
closer to home.

Proposed pilot · rural specialty practice

Getting patients seen without the five-hour drive.

Before: referrals arrived by fax and phone, records were chased by hand, and patients waited weeks or drove hours for a visit that often didn't need surgery.

  1. Capture each referral from fax, email, or phoneCaptured
  2. Gather records and imaging against the physician's checklistGathering
  3. Chase anything missingChasing
  4. Physician reviews a source-linked summaryReviewed
  5. Schedule the right visit, video or in personScheduled

Measured by hours from referral to complete file, and days from referral to visit. NextOS drafts and organizes; it never makes a clinical decision.

Systems we work inNo rip-and-replace

Inside the tools
you already use.

EMR and practice managementPayer portalsEOB and ERA filesBank portalsQuickBooksDocument sharesFax and email
GuardrailsBuilt for patient data

Care decisions stay
with clinicians.

Clinical decisions stay humanNextOS prepares and organizes. Clinicians decide.
BAA availableWe sign business associate agreements with healthcare customers, and provide BAA documentation and contracts on request.
Dedicated environmentPatient data can run in its own dedicated AWS account.
Minimum necessary accessEach agent gets only the systems and actions its job needs.
Every action recordedPermitted, refused, and failed actions, with outcomes checked.
How we engageStart narrow. Prove it. Expand.

One small first step.
Every next one, earned.

60minutes
01 · Free

Opportunity scan.

One operating area, with the people who run it. We find the work AI should take over first.

You leave withA ranked list of what AI should take first, and what it never should.
30days
02 · Proof

Operational proof.

One layer of real work runs inside an approved boundary. Read-only first, measured, and logged.

You leave withResults against your own baseline, and every run on the record.
+1layer at a time
03 · Ongoing

Expand with evidence.

We run what's proven, and add the next layer only when the results earn it.

You getAI running more of the routine work, with your people approving what matters.

Read-only firstInside your boundaryA decision at every step

QuestionsStraight answers
Do you make clinical decisions?

No. NextOS reads, matches, gathers, and drafts. Clinicians make every clinical decision, and your staff own payer and account judgment.

Do you sign a BAA?

Yes. We sign business associate agreements with healthcare customers and provide BAA documentation and contracts on request. Patient data can run in its own dedicated AWS account.

Is it automatically HIPAA compliant?

No platform is. Compliance depends on your deployment, agreements, controls, and practices. We design access around minimum necessary and record every action to support your program.

Do we have to change our EMR?

No. We work inside your current EMR, payer portals, and books, through a browser where there's no API.

How do we start?

A free 60-minute scan of one area, then a 30-day proof on one workflow before anything goes to production.

Start with one
billing workflow.

I need . I'm at in . Reach me at .

Goes straight to our team at hello@nextcoreai.ai.

Thanks. Your email app should open with the note ready to send.