01
Bring the claim into focus
Review claim details, coding indicators, and the documents that provide context.
FOR EMPLOYER-SPONSORED HEALTH PLANS
Kidney benefits
for your plan.
Support for
your people.
Help employees and their families navigate chronic kidney disease (CKD), dialysis, and end-stage renal disease (ESRD)—while giving your employer-sponsored health plan a clearer view of costs and reimbursement.
Kidney cost management + employee benefits navigation
Kidney expertise. Human connection.Benefits guidance for employees and families.
KIDNEY BENEFITS, CONNECTED.
SUPPORTING THE PLAN AND ITS PEOPLE.
Employer-sponsored plansBrokers & consultantsTPAs & operationsMembers & advocates
COMPLEXITY, MEET CLARITY
The whole picture.
Finally, connected.
Connect dialysis cost management, reimbursement review, and benefits navigation for employees with kidney disease—all in one employer-sponsored plan workspace.
01 / THE NEPHRIQ PLATFORM
A clearer financial picture.
See the full story behind your program’s performance. Keep projected, adjudicated, and validated savings distinct—and trace the outcome back to the payment.
- A transparent savings ledger
- Reconciliation coverage at a glance
- Reporting for each stakeholder
nephriq.DEMONSTRATION WORKSPACEACYOUR PROGRAM, AT A GLANCE
ConnectedClarity in every outcome.
Illustrative net savings$756,000After a 10% performance fee
Reconciliation progress87%94 of 108 demo claims
From potential to impactIllustrative net savings
$800k$400k$0
JanMarMayJulSep
Trace the number. Understand the outcome.
VISIBLE PROGRESS. ACCOUNTABLE OUTCOMES.
A clearer path from
claim to confidence.
Connected steps, clear ownership, and a record of how you got there.
02
Make the reasoning visible
Connect recommendations to benchmarks, methodology versions, and supporting evidence.
03
Keep people in control
Record human approvals, manage exceptions, and preserve the decision history.
04
Measure what happened
Match the final payment and report validated savings, fees, and net impact.
Role-specific accessLive workflow trackersTraceable decisions
THE NUMBERS, IN YOUR HANDS
What could a clearer
cost picture look like?
Explore a scenario with your own assumptions. See exactly how the math works.
BUILD YOUR SCENARIO
$
Enter $0–$100,000,000 in annual allowed spend.0%70%
0% of gross savings30%
ILLUSTRATIVE ANNUAL NET SAVINGS$756,000Explore this in a demoScenario only, not a forecast or commercial quote. Actual outcomes depend on claims, plan terms, approved decisions, and reconciled payments.
After the assumed performance fee. Before any other program costs.
Modeled gross savings$840,000
Assumed performance fee$84,000
Net savings ÷ fee9.0×
How the calculator works
Gross savings = annual allowed spend × modeled reduction. Fee = gross savings × assumed fee rate. Net savings = gross savings − fee. ROI = net savings ÷ fee; it is undefined when the fee is zero. Values are calculated in cents. The model excludes implementation fees and other costs, and does not use health data or live reimbursement rates.
4-page field guide · PDFA MORE INFORMED CONVERSATION
The thinking
behind the platform.
How do you connect a pricing decision to a financial outcome—and keep the member in view? Start with a clear operating model.
- The path from claim review to reconciliation
- A practical framework for savings definitions
- An illustrative financial example and launch checklist
YOUR PRIORITIES. YOUR WALKTHROUGH.
Don’t just see a demo.
Make it yours.
Start with the work that matters to you. Build a guided route through Nephriq in three short steps.
No contact details requiredFictional data, real workflowsExplore at your own pace
BUILD YOUR DEMO01 / 03
About 30 seconds
A LITTLE MORE CLARITY
Good questions.
Clear answers.
Get to know the platform before you explore.
Who is Nephriq built for?
Nephriq is built for employer-sponsored health plans and the employees and covered family members living with chronic kidney disease, receiving dialysis, or navigating end-stage renal disease. It connects employer benefits teams, brokers, TPAs, and member advocates around costs, reimbursement, and benefits navigation. Clinical diagnosis and treatment remain with each member’s nephrology care team.
What does “AI-assisted” mean here?
PriceIQ brings calculations, evidence, and explanatory summaries into the review workflow. This demonstration uses deterministic pricing rules and simulated AI summaries. An authorized human must review and approve reimbursement decisions.
How are savings measured?
Projected savings compare the original allowed amount with a recommendation. Adjudicated savings use the authorized amount. Validated savings require the actual final payment to be reconciled. Performance fees are applied to positive validated gross savings; net savings are shown after those fees.
What happens when I build a demo?
Your choices create a tailored walkthrough with relevant starting points. No contact details are collected, and no sales request is sent. The demonstration opens with fictional records and the permissions of your current persona.
Can I connect live data or use this for patient care?
The current workspace is a demonstration. Claims, rate sources, external feeds, and member records are fictional or simulated. A production deployment requires verified data integrations, enterprise identity, security controls, and qualified operational review. Nephriq’s navigation tools do not provide diagnosis or treatment.
A BETTER VIEW STARTS HEREA clearer kidney
Build your Nephriq demo
A clearer kidney
benefits journey.
Build your Nephriq demoFor your health plan. For your employees and their families.