Healthcare

Turn your healthcare processes into AI agents

Nanonets converts your payer policies, prior-auth rules, credentialing checklists, and coding guidelines into AI agents that run your healthcare processes — from intake to remittance.

Used by 35% of the Fortune 500 and 10,000+ enterprises

Schneider Electric
Volkswagen
Mondelez
Procter & Gamble
Ryanair
Novo Nordisk
Roche
Bayer
UniPro Foodservice
Schaeffler
Publicis Groupe
Elli
Philip Morris International
Dr. Reddy's
CKE Restaurant Group
Topgolf Callaway
TE Connectivity
Juniper Networks

Top healthcare teams
put Nanonets to work on:

  • Coordination of benefits
  • Patient statements
  • Claim status checks
  • Claims submission
  • Eligibility verification
  • Prior authorizations
  • Benefits verification
  • Patient intake forms
  • Insurance card capture
  • Provider credentialing
  • Payer enrollment
  • EOB & ERA posting
  • Payment posting
  • Denials & appeals
  • Charge entry
  • Referral processing
  • Medical records requests

Turn a payer policy into a working agent — in one upload.

Import the payer policy, prior-auth checklist, or credentialing packet your revenue-cycle team maintains. Nanonets reads it, builds the agent, and shows which clause produced each rule.

  1. 01Import process docsDrop in the payer policy, prior-auth checklist, or credentialing SOP your team already maintains — PDF, DOCX, faxes, scans.
  2. 02Agent auto-builtNanonets parses them into a context graph. It outlines the agent's role, splits the process into phases, and adds the tools each step needs.
  3. 03Review, approve, runEvery learned rule is explained and traced to the exact text it came from. Agents take decisions strictly based on these rules.

Payer policy says §4.2

…out-of-network services require an authorization on file before the date of service; claims submitted without an authorization number on record are denied, and appeals must be filed within 90 days of the remittance date…

Nanonets extracts rule

If the service is out-of-network and no authorization number is on file, hold the claim and open a prior-auth request before the date of service.

Upload a policy and see Nanonets build the agent

Help agents solve the most complex problems with context graphs.

A claim came back denied for no prior authorization, on a member who switched plans mid-episode, for a provider whose credentialing lapsed in March, and the payer already reprocessed two like itdo we appeal or rebill?

One question. Five kinds of context, each in a different system — the denial letter doesn't know the roster, and the EHR doesn't know the payer's policy.

How the Context Graph works →
  • Payer policy & prior-auth rules

    Policy context Was an authorization required?

    Yes, out-of-network · 90-day appeal window

  • EHR / practice management

    System-of-record context Which plan was active?

    Member changed plans on the 12th · episode spans both

  • Credentialing & payer roster

    Computed context Was the provider in network that day?

    Re-attestation lapsed Mar 4 · reinstated Apr 9

  • Payer calls & correspondence

    Conversation context What has this payer said before?

    2 similar claims reprocessed on call · refs logged

  • Appeals & rebill SOP

    SOP context Which path, in what order?

    Rebill first, appeal by day 90 · logged to the claim

How it works

Ingest. Process. Review. Deliver. The agent handles it — and hands off when it should.

Nanonets
Intake queue4 new
CLM-40218
Northline Health Plan
Payer fax
CLM
CLM-40233
Cedarbrook Mutual
Portal upload
CLM
EOB-7715
Vantage Care Plan
Mail scan
EOB
CLM-40341
Ridgeway Health
Front-desk capture
CARD
1
Ingest
Faxes, scanned documents, insurance cards, EOBs, clinical notes, and lab reports. Any format, any payer.
Nanonets
CLM-40233Scrubbing
PayerCedarbrook MutualMatched
Member IDCBM-4471902Verified
Charges$6,275.00Validated
EligibilityActive on DOSChecked
Prior authNo number on fileRequired
5 checks · 1 exception
2
Process
Patient info extracted. Eligibility and benefits verified. Prior auth requirements checked against payer rules.
Nanonets
ExceptionHeld
Out-of-network · no auth on file
CLM-40296 · Vantage Care Plan
Routed to
JO
J. Ortiz — RCM LeadApproval
Attached: claim, payer policy §4.2, benefits check
Agent paused · resumes on decision
3
Human review
Coverage gaps, prior auth failures, and low-confidence extractions are handed to the right person with full context. The agent waits for the decision, then continues.
Nanonets
Batch5 of 5 done
CLM-40218Submitted
CLM-40233Submitted
CLM-40296Rebilled
CLM-40341Posted
CLM-40388Submitted
4
Deliver
Clean structured data posted to your EHR, HIS, or RCM system. Claims submitted. Full audit trail attached.

35% of Fortune 500 and 10,000+ companies use Nanonets

Customer story · SafeRide Health

Nanonets has significantly automated our driver and vehicle credentialing processes, reducing manual workload by 80%. I highly recommend Nanonets for their innovative approach and exceptional service.
SafeRide Health
Evan Rader, Network ManagerSafeRide Health
Manual workload
down 80%
Files needing review
15,000/mo 3,000/mo
Annual cost
~$61K ~$29,280
Team productivity
500% increase

Teams using Nanonets see

  • 95%Straight-through processing
  • 80%Reduction in associated costs
  • 15×Quicker turnaround times

Built for how modern enterprises work.

Nanonets meets the highest industry standards for your security & compliance. We include all default controls that you'd expect, including SAML SSO, audit logs, IP allow-listing, data lifecycle management, and much more.

SSO & SCIM
SAML, OIDC, and SCIM user provisioning with Okta, Azure AD, Google Workspace.
Role-based access
Full RBAC and fine-grained access control across orgs, workspaces, agents.
Audit logs
Every agent run, approval, and data access is recorded, and streams to your SIEM.
Private deployment
VPC, single-tenant cloud, or on-prem. Choose your infrastructure and network policies.
Data residency
Pin data processing to US, EU, APAC regions. Customer data never leaves your boundary.
Human-in-the-loop
Configure approval gates to route edge cases to Slack, Teams, or email for review.
Encryption at rest & in transit
AES-256 at rest, TLS 1.3 in transit. BYOK supported for all customer-managed keys.
Usage quotas & rate limits
Per-team budgets and API quotas with real-time cost dashboards. No surprises.

Security built in, not bolted on.

Your data and your company brain never leave your boundary. Independently audited every year, with compliance controls enforced by the platform — not promised on a page.

Held and current — not roadmap targets.

SOC 2 Type IISOC 2 Type IIOngoing security controls
GDPRGDPREU data protection
ISO 27001ISO 27001Global ISMS standard
HIPAAHIPAABAA on enterprise plans

See it run on your process.

From AI-native hypergrowth companies to Fortune 500 enterprises, Nanonets automates business processes so teams can focus on what matters.