Built for evidence-linked orthopedic appeal drafting.
Discover how Nolvium structures clinical chart review into an audit-ready, policy-cited appeal preparation workflow.
Case Workspace
Manage orthopedic denial cases in an organized dashboard. Track notice dates, calculated 120-day Medicare redetermination deadlines, assigned reviewers, and case review statuses.
Document Ingestion & OCR
Upload ERA 835 remittances, EOBs, operative notes, physical therapy logs, and radiology reports. Page numbers and section headers are preserved during automated text parsing.
Policy Matching Engine
Nolvium cross-references procedure CPT codes, MAC jurisdictions, and dates of service against CMS Local Coverage Determinations (LCDs) and commercial policy bulletins.
Evidence Matrix & Gap Detection
Maps chart evidence to policy criteria and displays an Evidence Matrix. Evaluates Supported (Green), Partial (Amber), and Missing (Red) criteria without inferring absent facts.
Policy-Cited Appeal Editor
Generates structured appeal drafts with inline source citations (e.g. Clinical Chart, PDF 2, page 14). Embedded warnings highlight missing documentation before human approval.
Human Review & Export
Qualified billers or auditors inspect evidence citations, edit language, approve packets, and export audit-ready PDF appeal packets for clearinghouse submission.