Claims are paid by your business every day that shouldn’t be.

We are more effective than any other vendor at preventing this from happening.

Nokomis generates more pre-payment claim savings than other payment integrity vendors. We go deeper and broader in our analysis to find incremental savings over and above anyone else. It’s a bold statement, we know! Want to learn how our clients are benefiting today?

Claims are paid by your business every day that shouldn’t be.

We are more effective than any other vendor at preventing this from happening.

Nokomis generates more pre-payment claim savings than other payment integrity vendors. We go deeper and broader in our analysis to find incremental savings over and above anyone else. It’s a bold statement, we know! Want to learn how our clients are benefiting today?

$800 billion
lost to fraud,
waste and abuse
every year
(and it’s growing)

$800 billion lost to fraud, waste and abuse every year
(and it’s growing)

With an estimated 3-10% of healthcare expenditure wasted on errors, fraud, and abuse, how much are you currently catching?

Want to see how much incremental savings you could be catching?

Explainer Video

Our innovative approach combines advanced analysis with industry expertise to help health plans identify errors and upcoding in claims, resulting in significant cost savings. Contact us today to learn more!

Today’s savings,
tomorrow’s services

How do you identify additional savings to empower members and improve the health of your business?

In the face of rising healthcare costs, identifying additional savings is not just a financial imperative; it's a member empowerment strategy.

Savings recovered today can fund the services and programs your members will benefit from tomorrow.

Want to see how much incremental savings you could be making?

The Nokomis Difference

We turn over every stone

We thoroughly review every single professional and facility medical claim every day.

We review every claim with the same
intensity/process/magnitude regardless of value.

Our turnaround time for your daily claim file is next working day, minimizing impact on your payment timeline.

We care about the claims ecosystem

Our team has over 650 years of
combined experience.

Our business was created, and our people strive to make a difference.

We are privately owned and funded, with the sole priority of servicing our clients to the best of our ability.

One size does not fit all

We realize that every claim and every
provider is different.

Minimizing provider abrasion is critical and we are proud of our <2% appeal rate and <0.5% overturn rate.

We create custom-made rules and parameters to minimize disruption and
maintain the health of your healthcare
ecosystem.

What makes
Nokomis different

Our unique approach and ClaimsWise software allows Nokomis to find and stop payment of erroneous claims better than any vendor, but we also do this with integrity and sensitivity to all parties in the claims ecosystem. That’s why we are proud of our low appeal rate.

40%
40%
40%

of savings from
medical record review

30%
30%
30%

Of savings from
claims < $4,000

<0%
<0%
<0%

appeal & corrected claim rate

Appeal & corrected
submission rate

We have helped
customers just like you

Transforming healthcare claims analysis for better savings and accuracy.

A New York
health plan

..has saved millions of Dollars since being a long standing customer of Nokomis

A California non-profit
health plan

.. covering 250,000 members is saving
5%+ of their annual claims cost through
using the Nokomis service

A large national self-
funded Plan

..is using Nokomis to analyze out-of-
network claims and is saving in excess of
$5m every month

See what our
customers say

  • “The flexibility, reliability and professionalism of Nokomis makes them a partner, not just another vendor. They are undoubtedly the best payment integrity vendor I have worked with”.

    Associate Director – Platform Operations

    A leading national self-funded health plan

  • “Nokomis produces incredible results. Their approach is client centric, ensuring that the service they provide is first class at all times. A true business partnership”.

    Director

    A leading regional nonprofit health plan

  • “We simply love working with Nokomis.”

    VP of Operations

    A New York Based Health based non-profit specialist care plan

  • "Nokomis is an excellent partner in payment integrity. We were able to tailor edits to meet the specific needs of the organization, ensuring payments are accurate and compliant. Their thorough review process helps identify discrepancies and reduces the risk of errors, while their expertise in coding guidelines and policies facilitates staying up-to-date with industry regulations. Nokomis’ expertise enhances compliance by providing valuable insights and best practices, ensuring long-term sustainability and minimizing financial risks."

    Director of Claims Operations

    A leading managed long-term care organization in New York

  • "We have worked very closely with Nokomis for over 7 years. Our Client/Vendor relationship has developed into a true partnership. Their expertise in New York and CMS regulatory requirements, their unwavering support and robust systems algorithms are critical to our claims process and have saved the plan millions of dollars. We now have a very efficient process that ensures claims are processed and paid accurately and quick to react to potential provider fraud, waste and abuse."

    VP of Operations

    A New York Based Health Plan

  • “The flexibility, reliability and professionalism of Nokomis makes them a partner, not just another vendor. They are undoubtedly the best payment integrity vendor I have worked with”.

    Associate Director – Platform Operations

    A leading national self-funded health plan

  • “Nokomis produces incredible results. Their approach is client centric, ensuring that the service they provide is first class at all times. A true business partnership”.

    Director

    A leading regional nonprofit health plan

  • “We simply love working with Nokomis.”

    VP of Operations

    A New York Based Health based non-profit specialist care plan

  • "Nokomis is an excellent partner in payment integrity. We were able to tailor edits to meet the specific needs of the organization, ensuring payments are accurate and compliant. Their thorough review process helps identify discrepancies and reduces the risk of errors, while their expertise in coding guidelines and policies facilitates staying up-to-date with industry regulations. Nokomis’ expertise enhances compliance by providing valuable insights and best practices, ensuring long-term sustainability and minimizing financial risks."

    Director of Claims Operations

    A leading managed long-term care organization in New York

  • "We have worked very closely with Nokomis for over 7 years. Our Client/Vendor relationship has developed into a true partnership. Their expertise in New York and CMS regulatory requirements, their unwavering support and robust systems algorithms are critical to our claims process and have saved the plan millions of dollars. We now have a very efficient process that ensures claims are processed and paid accurately and quick to react to potential provider fraud, waste and abuse."

    VP of Operations

    A New York Based Health Plan

  • “The flexibility, reliability and professionalism of Nokomis makes them a partner, not just another vendor. They are undoubtedly the best payment integrity vendor I have worked with”.

    Associate Director – Platform Operations

    A leading national self-funded health plan

  • “Nokomis produces incredible results. Their approach is client centric, ensuring that the service they provide is first class at all times. A true business partnership”.

    Director

    A leading regional nonprofit health plan

  • “We simply love working with Nokomis.”

    VP of Operations

    A New York Based Health based non-profit specialist care plan

  • "Nokomis is an excellent partner in payment integrity. We were able to tailor edits to meet the specific needs of the organization, ensuring payments are accurate and compliant. Their thorough review process helps identify discrepancies and reduces the risk of errors, while their expertise in coding guidelines and policies facilitates staying up-to-date with industry regulations. Nokomis’ expertise enhances compliance by providing valuable insights and best practices, ensuring long-term sustainability and minimizing financial risks."

    Director of Claims Operations

    A leading managed long-term care organization in New York

  • "We have worked very closely with Nokomis for over 7 years. Our Client/Vendor relationship has developed into a true partnership. Their expertise in New York and CMS regulatory requirements, their unwavering support and robust systems algorithms are critical to our claims process and have saved the plan millions of dollars. We now have a very efficient process that ensures claims are processed and paid accurately and quick to react to potential provider fraud, waste and abuse."

    VP of Operations

    A New York Based Health Plan

  • “The flexibility, reliability and professionalism of Nokomis makes them a partner, not just another vendor. They are undoubtedly the best payment integrity vendor I have worked with”.

    Associate Director – Platform Operations

    A leading national self-funded health plan

  • “Nokomis produces incredible results. Their approach is client centric, ensuring that the service they provide is first class at all times. A true business partnership”.

    Director

    A leading regional nonprofit health plan

  • “We simply love working with Nokomis.”

    VP of Operations

    A New York Based Health based non-profit specialist care plan

  • "Nokomis is an excellent partner in payment integrity. We were able to tailor edits to meet the specific needs of the organization, ensuring payments are accurate and compliant. Their thorough review process helps identify discrepancies and reduces the risk of errors, while their expertise in coding guidelines and policies facilitates staying up-to-date with industry regulations. Nokomis’ expertise enhances compliance by providing valuable insights and best practices, ensuring long-term sustainability and minimizing financial risks."

    Director of Claims Operations

    A leading managed long-term care organization in New York

  • "We have worked very closely with Nokomis for over 7 years. Our Client/Vendor relationship has developed into a true partnership. Their expertise in New York and CMS regulatory requirements, their unwavering support and robust systems algorithms are critical to our claims process and have saved the plan millions of dollars. We now have a very efficient process that ensures claims are processed and paid accurately and quick to react to potential provider fraud, waste and abuse."

    VP of Operations

    A New York Based Health Plan

FAQs

Find answers to common questions about Nokomis' services, how it works, and the kind of results you can expect to achieve.

Still have questions?

Contact us for more information.

Get in Touch

I have a team to do this already, why do I need Nokomis?

How much does this cost?

I already use a solution that delivers claim accountability, why do I need another?

What do I need to do in order to subscribe to the Nokomis service?

FAQs

Find answers to common questions about Nokomis' services, how it works, and the kind of results you can expect to achieve.

Still have questions?

Contact us for more information.

Get in Touch

I have a team to do this already, why do I need Nokomis?

How much does this cost?

I already use a solution that delivers claim accountability, why do I need another?

What do I need to do in order to subscribe to the Nokomis service?

FAQs

Find answers to common questions about Nokomis' services, how it works, and the kind of results you can expect to achieve.

Still have questions?

Contact us for more information.

Get in Touch

I have a team to do this already, why do I need Nokomis?

How much does this cost?

I already use a solution that delivers claim accountability, why do I need another?

What do I need to do in order to subscribe to the Nokomis service?

FAQs

Still have questions?

Contact us for more information.

Get in Touch

I have a team to do this already, why do I need Nokomis?

How much does this cost?

I already use a solution that delivers claim accountability, why do I need another?

What do I need to do in order to subscribe to the Nokomis service?

Find answers to common questions about Nokomis' services, how they work, and the kind of results US Health Plans can expect.

Nokomis is unique in identifying pre-payment claims savings that you or other payment Integrity vendors can not. We go deeper and broader in our analysis to find incremental savings over and above anyone else.

Contacts

Address:

206 North First Street, Minneapolis,

MN 55401-1404

Email:
info@nokomishealth.com

Phone:
(612) 825-2342

Fax:

(612) 825-2344

© 2024 Nokomis Health. All rights reserved.

Nokomis is unique in identifying pre-payment claims savings that you or other payment Integrity vendors can not. We go deeper and broader in our analysis to find incremental savings over and above anyone else.

Contacts

Address:

206 North First Street, Minneapolis,

MN 55401-1404

Email:
info@nokomishealth.com

Phone:
(612) 825-2342

Fax:

(612) 825-2344

© 2024 Nokomis Health. All rights reserved.

Nokomis is unique in identifying pre-payment claims savings that you or other payment Integrity vendors can not. We go deeper and broader in our analysis to find incremental savings over and above anyone else.

Contacts

Address:

206 North First Street, Minneapolis,

MN 55401-1404

Email:
info@nokomishealth.com

Phone:
(612) 825-2342

Fax:

(612) 825-2344

© 2024 Nokomis Health. All rights reserved.

Nokomis is unique in identifying pre-payment claims savings that you or other payment Integrity vendors can not. We go deeper and broader in our analysis to find incremental savings over and above anyone else.

Contacts

Address:

206 North First Street, Minneapolis,

MN 55401-1404

Email:
info@nokomishealth.com

Phone:
(612) 825-2342

Fax:

(612) 825-2344

© 2024 Nokomis Health. All rights reserved.