Dashboard
Medicare fraud anomaly overview and key statistics
Variables Explained
Reference guide for every metric, score, and variable used in Nehemiah.ai
Anomalies
Browse and filter detected billing anomalies by state, HCPCS code, and severity
Provider Lookup
Search providers by name, NPI, city, state, or specialty
No Surprises Act — Anomalies
Providers with anomalous QPA demands and high IDR win rates across CMS dispute data
No Surprises Act — Provider Lookup
Search providers with NSA violations and balance billing patterns
No Surprises Act — Cases
Track NSA enforcement actions, IDR disputes, and balance billing cases
CMS Out-of-Network Data Analysis
Analyze CMS out-of-network claims data, qualifying payment amounts, and provider billing patterns
IDR Process Analytics
Track Independent Dispute Resolution outcomes, trends, and provider/payer win rates
NSA Enforcement Tracker
Identify repeat players in the IDR process and track high-volume provider dispute patterns
My Research
Your personal workspace for tracking hospitals and providers you're investigating
Tutorials / Learn
Educational resources, dictionary, workflow guides, and CMS IDR education
Hospital Claims Pipeline
Track hospital OON deal pipeline, manage prospects, and monitor sales stages
Dashboard
Announcements, news, and quick links
My Supervisors
Assign supervisors to your hospital systems (2% commission share)
Supervisor Dashboard
Systems you are supervising and estimated earnings
My Commissions
View your commission history and report discrepancies
Sales Dashboard
Corporate pipeline overview, team Kanban board, and salesperson leaderboard
My Profile
Manage your account settings
User Data
View user activity, pipeline progress, research, and download data
Add Medicare Data
Upload CMS data files and track analysis runs
User Management
View and manage user roles
Sales Requests
Review and manage hospital pipeline requests from staff
Dispute Resolution
Review and resolve commission discrepancies and supervisor disputes
Supervisor Management
View and manage all supervisor assignments across the organization
Commission Management
Enter and track monthly salesperson commissions