Nodaris AI builds the data infrastructure, the AI governance layer, and an AI-powered operational dashboard that makes revenue cycle automation trustworthy, compliant, and profitable — for specialty practices and the RCM companies that serve them. We automate the high-touch processes so you can focus on the high-value functions.
Specialty practices and the RCM companies that serve them are losing revenue every day — not because their teams aren’t working hard enough, but because the underlying data infrastructure was never built to support AI. Nodaris fixes that.
Nodaris AI is not a software vendor. We are a healthcare data infrastructure company. Each product addresses a distinct, critical layer of the AI-powered revenue cycle. Each is commercially standalone. Together they form the most defensible infrastructure stack in specialty RCM.
Every ADR response and denial appeal built from PM system data alone is built on partial information. Practice Management systems capture only a filtered subset of the original clinical data — the faxes, the handwritten notes, the original referral documents, the pre-auth records — that actually prove medical necessity are most often left out.
NDE ingests every document format your practice produces — faxes, scans, EDI files, photographs, handwritten clinical notes — parses and structures the data using patented recognition technology, de-identifies it in full HIPAA compliance, and outputs a complete, richer dataset to AROS and any downstream system.
Standard AI protocols let agents communicate with systems. SMCP adds what healthcare specifically requires: authentication for every agent (no anonymous access), least-privilege data access, human approval gates that physically block payer submissions until your team approves, full immutable audit logging of every interaction, and cost attribution per transaction.
SMCP is a standalone product — used internally by AROS and licensable to any healthcare organisation running AI agents on clinical and billing data.
AROS is not a dashboard. It is an AI orchestration engine that processes your accounts receivable continuously in the background — drafting ADR responses from original source documentation, writing denial appeal letters with clinical arguments and payer policy citations, running eligibility checks, monitoring claim status across every payer without a single manual portal login.
When your revenue cycle team opens AROS, the action queue is ready and waiting. Specialists review each item, edit if needed, and approve. Nothing ever reaches a payer without their explicit sign-off.
| Module | What It Does |
|---|---|
| Claims Status Check | Automated, continuous claim monitoring via clearinghouse 276/277. No manual portal logins. Detects ADR issuances and denial adjudications automatically. Always-on — the engine driving the entire platform. |
| ADRs | 45-day hard deadline, tracked automatically. AROS assembles the full response package from original source data, generates the AI draft, and surfaces it for your review. Critical ADRs flagged in red. Deadline countdown visible at a glance. |
| Denials Management | Six-category root cause classification. AI-generated complete appeal letters with clinical arguments and payer policy citations. Dollar-value prioritisation. Appealability scoring. Human approval always required. |
| Eligibility Check | Auto-triggered for CO-22/CO-27 coded denials. Runs Availity 270/271 queries and routes results back to the Denials queue with an updated appeal strategy. Closes the denial-to-eligibility loop automatically. |
Dear Noridian Medicare Administrative Contractor,
We are submitting this response to your Additional Documentation Request dated February 20, 2026 for the above-referenced beneficiary. We provide herein the requested documentation in full support of the medical necessity for Total Hip Arthroplasty (CPT 27130) performed on January 14, 2026.
Conservative Treatment History (Exhibit A): Patient M. Thornton presented with progressive right hip pain beginning February 2024. Over the subsequent 18 months, the patient underwent a comprehensive non-surgical treatment course including 12 weeks of formal physical therapy, oral NSAID therapy with documented GI intolerance, and two intra-articular corticosteroid injections with temporary and diminishing relief…
Nodaris AI was built by people who have spent their careers inside the problems we now solve. We are not a technology company that found a market. We are a deliberate collaboration of domain experts who built the infrastructure they always needed — and never found.