Adjudicate every claim accurately, automatically, at scale
Novacis Digital Claims Hyper-Adjudication automates the full claims lifecycle from intake to payment with pre-payment integrity checks built into every step. Reduce cost, eliminate manual effort, and scale without adding headcount.
From manual claims processing to real time adjudication
Claims adjudication is one of the largest cost drivers in payer operations. Manual intake, fragmented edits, and post-payment checks slow down processing and increase error rates. Novacis Digital Claims Hyper-Adjudication automates the full adjudication cycle from document intake to payment execution, applying validation, edits, and integrity checks before payment is released.
The result is faster turnaround, improved accuracy, and significantly lower operational cost.
High auto-adjudication with minimal manual touch
Pre-payment integrity built into every claim
Predictive risk scoring at submission
End-to-end automation from intake to payment
Reduced claims processing cost
Faster adjudication turnaround
Fewer errors and rework cycles
Scalable operations without increasing headcount
Who It's for
For teams responsible for claims processing and adjudication
Claims Processing Teams
Process claims faster with automated decision workflows.
Payer Operations Teams
Improve adjudication speed and reduce manual review effort.
Prior Authorization Teams
Process authorization workflows faster with automated intake and validation.
Operations and Finance Leaders
Reduce cost per claim while improving processing speed and accuracy.
Compliance and Audit Teams
Maintain full traceability across every adjudication decision.
IT and Integration Teams
Connect claims workflows directly to payment systems without manual handoffs.
How it works?
Novacis Digital Claims Hyper-Adjudication processes claims from intake to payment in a single automated flow.
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Claims Intake
Ingests claims, attachments, and medical documents from any source and converts them into structured, adjudication-ready data.
Capture claims and attachments
Claims Submissions
Medical Attachments
Clinical Documents
EDI Files
Batch Uploads
API Feeds
Supports
Multi-Payer Claims
High-Volume Intake
Structured Data
Unstructured Data
Real-Time Processing
Secure Channels
Automated Adjudication
Applies coverage checks, coding validation, clinical rules, and contract compliance with built-in risk scoring.
Process and validate claims
Coverage Validation
Coding Checks
Policy Rules
Clinical Validation
Contract Compliance
Risk Scoring
Identify exceptions
Error Detection
Anomaly Flagging
Missing Information
Rule Violations
Exception Routing
Confidence Scoring
Payment Execution
Routes adjudicated claims directly to payment systems with automated workflows, remittance generation, and audit logging.
Execute claim outcomes
Approval Processing
Denial Handling
Payment Calculation
Remittance Generation
Case Updates
Status Tracking
Integrate with systems
Payment Systems
Finance Systems
Workflow Engines
Reporting Tools
Notifications
Audit Logs
Built to automate end to end claims adjudication
Every capability in Novacis Digital Claims Hyper-Adjudication is designed to maximize automation, accuracy, and compliance.
Make every claim decision faster and more accurate
If your claims process relies on manual review and delayed decisions, there is a faster and more reliable way to adjudicate in real time at a lesser cost.
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