End-to-end AI for
insurance back-office.
Five products. One platform.
Nova is Kurve's insurance operations suite — covering Prior Authorization, Medical Coding, Utilization Management, Claims Adjudication, and FWAE Detection. All built on a unified policy and member data foundation.
Five products.
One insurance data layer.
Every Nova product shares the same unified member and policy ontology — so data flows between products without re-keying, re-mapping, or manual handoffs.
Prior Authorization
End-to-end PA automation — from multi-channel intake (fax, portal, phone, EHR) through clinical guideline matching to determination. Reduces TAT from days to hours while maintaining full audit trail for compliance.
Fax, portal, phone, and EHR submissions ingested and classified automatically.
AI matches requests against InterQual, MCG, and custom clinical criteria.
Configurable auto-approval thresholds with human review gates for complex cases.
Real-time TAT monitoring with automated escalations before deadlines are missed.
Medical Coding
AI-assisted ICD-10 and CPT coding from clinical documentation and claims data. Reduces coder review time, improves first-pass accuracy, and surfaces coding gaps before submission.
AI extracts and suggests codes from clinical notes, discharge summaries, and EOBs.
Suggested codes routed to coders for review — AI handles the volume, coders handle the edge cases.
Flags undercoding, overcoding, and documentation gaps before claims are submitted.
Full lineage from source document to final code — supporting payer audits and compliance reviews.
Utilization Management
AI-assisted concurrent review and level-of-care assessment across inpatient, SNF, LTACH, and home health settings. Automates queue management, clinical review routing, and TAT compliance across your UM team.
Ongoing clinical review automation for active admissions — flagging extended stay triggers and level-of-care changes.
Intelligent case allocation across reviewers based on complexity, specialty, and TAT urgency.
AI-assisted LOC determination with clinical guideline references and reviewer annotation.
UM denials flow directly into appeals workflow — no manual handoff between teams.
Claims Adjudication
AI-assisted adjudication across the full claims lifecycle — from document ingestion through eligibility verification, policy matching, and determination. Reduces manual adjudication volume while keeping humans in control of complex cases.
Claims from all formats — EDI, PDF, fax — ingested and structured automatically via Kurve's VLM/OCR layer.
Real-time member eligibility check and policy coverage mapping against unified member ontology.
Straight-through processing for clean claims with configurable auto-approval thresholds.
Complex or flagged claims routed to human reviewers with full context — no re-keying required.
FWAE Detection
AI-powered Fraud, Waste, Abuse, and Error detection across claims and prior authorization data. Identifies anomalous patterns, duplicate submissions, and known fraud signatures — before adjudication, not after.
Every claim screened for FWAE signals before it reaches the adjudication queue.
Anomaly detection across historical and real-time claims data — surfacing billing patterns and provider outliers.
Exact and near-duplicate claim detection across member, provider, and service dimensions.
Flagged cases routed to SIU teams with evidence summary — reducing time-to-investigation.
One data layer across all five products.
Most insurers run PA, coding, UM, claims, and FWAE on separate systems with separate data. Nova runs all five on a single unified member and policy ontology — so data flows between products without re-keying or re-mapping.
One canonical view of every member across PA, UM, claims, and FWAE. No identity resolution failures across products.
A PA denial flows into UM review. A UM determination flows into claims. A claims flag flows into FWAE. No manual handoffs.
Every decision across every product is auditable — from source document to final determination, across the entire workflow.
Nova integrates with your policy administration, claims, and EHR systems — no rip-and-replace required.
Be first to pilot Nova.
We're working with select insurance partners to design the Nova pilot. Start with one product — expand across the suite.
Join the Waitlist