Working with Nomi, made simple.

Get answers to common provider questions about payments, claims, eligibility, and more.

Frequently asked questions for providers

The Nomi Network is a set of direct contracts with providers that sits alongside an employer’s existing PPO network. Direct contracts set pricing with providers up front, giving employers a lower-cost option for common services while keeping broad PPO access in place.
Providers join the Nomi Network through a direct contract that sets agreed rates for defined services. Contracting covers rate schedules, covered services and payment terms. Contact Nomi’s provider network team to begin; requirements vary by specialty, geography and existing payer relationships.
Network providers are paid through Nomi’s healthcare payments platform, which carries claims data and payment together in one system. Because rates are contracted in advance, there is less back-and-forth over allowed amounts.
Nomi’s healthcare financial services platform brings claims data and health payments together in one system. The platform includes clearinghouse connectivity, claims editing for payment accuracy, and paperless workflows, so payers, providers and self-insured employers work from the same transaction record.
Nomi batches and delivers payments to providers via their method of choice — ACH/EFT, virtual credit card (VCC), or check — and delivers the remittance alongside that payment rather than as a separate file. Because payment and remittance travel together, provider billing teams can match payments to claims without rebuilding that connection themselves, with no changes needed to their existing billing system.
No, providers do not need to change billing systems to accept Nomi payments. Nomi’s platform connects through clearinghouses rather than requiring a system replacement. Electronic payments are delivered the way a provider receives them today. Setup involves enrollment and configuring how payments and remittance are delivered to the practice.
A Network agreement is a separate contract and does not automatically change a provider’s existing payer relationships. Providers should review most-favored-nation and exclusivity language in current contracts, since terms vary. Nomi’s contracting team can walk through how a direct agreement fits alongside existing arrangements.

Working with Nomi, made simple.

Get answers to common provider questions about payments, claims, eligibility, and more.

Frequently asked questions for providers

What is the Nomi Network?
How does a provider join the Nomi Network?
How do Network providers get paid?
What is Nomi’s healthcare payments platform?
How does the payments platform reduce reconciliation work for providers?
Does a provider need to change billing systems to accept Nomi payments?
Does joining the Network affect a provider’s other payer contracts?