Eligibility and benefits
Track coverage-verification requests, responses, limitations and follow-up tasks.
v4.4 baseline · v4.5 integrations · v4.6 support
A clearer revenue-cycle workspace for healthcare practices.
The Billing workspace connects eligibility, charge capture, claim preparation, claim-status requests, ERA/EOB reconciliation and denial work queues. v4.6 adds protected human-reviewed support. Clearinghouse transmission remains adapter-driven, and final coding, coverage, reimbursement and appeal decisions remain with qualified staff and payer rules.
NWS v4.6.0
Revenue-cycle operations
Practice operations can scale by users, providers, claim volume, integrations, secure storage and AI/document processing usage.
270/271Eligibility adapter workflow
837Canonical claim packet + adapter
835 ERAImport and reconciliation
HumanBilling ticket review
Platform capabilities
Purpose-built workflows for nursing and healthcare.
The v4 healthcare platform separates responsible public information, marketplace collaboration, educational tools and regulated practice products.
Charge capture
Connect documented services to controlled charge-entry and review workflows.
Coding support
Assistive ICD-10, CPT and HCPCS workflows with licensed data and qualified review where required.
Claim-quality checks
Identify missing fields, incompatible data, documentation gaps and common rejection risks.
Denial management
Classify denials, assign work queues, monitor deadlines and prepare reviewed appeal documentation.
Revenue analytics
Aging, payment, denial, underpayment, payer and productivity views for authorized users.
Workflow
A clear path from need to accountable outcome.
Configure practice and payers
Set providers, locations, services, roles, integrations and workflow rules.
Prepare and review claims
Verify eligibility, capture charges and complete coding and quality checks.
Track response and payment
Monitor claim status, remittance, payment posting, exceptions and denials.
Improve the revenue cycle
Use audited work queues and analytics to identify preventable leakage and delays.