NeXtriage
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NeXtriage

Emergency triage from first call to discharge. Payer-funded pre-hospital triage plus in-facility decision support for emergency departments.

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  • (615) 807-0743
  • info@nextriage.com
  • Nashville, TN

NeXtriage is built with healthcare security requirements in mind, featuring encryption, role-based access controls, and secure authentication to support your organization's compliance needs.

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Pre-pilot research phase · working MVP.We're currently responding to customer inquiries and partnership requests.Get in touch →

For Commercial, Government & Self-Funded Payers

Right Place.
Right Time.
Right Care.

Triage that starts before a member ever reaches a waiting room — helping members choose the right care setting before an avoidable ambulance run or ED facility fee hits the claim.

Request a DemoWatch It Triage a City

NeXtriage · Live Triage — Metro View

Live
Memorial EDNorthside UCRiverside UC

Sprained ankle · ESI 4

→ Urgent Care · rideshare, 8 min

  • ESI 1–2 → Hospital ED
  • ESI 3–5 → Urgent care
  • Patient request

3

To urgent care

2

ED arrivals

3

ED beds protected

Mode 1 · Patent-Pending

Pre-Hospital Decision Support

Patients access NeXtriage through their payer plan. For low-acuity cases, NeXtriage recommends a rideshare-class transport — and the patient makes the final choice.

Mode 2

In-Facility Triage

Real-time condition tracking, faster intake, and clinical decision support that keeps your team in control from door to discharge.

60%Faster Patient Intake†
85%Improved Triage Consistency†
30%Lower LWBS Rates†

† Design targets based on the platform's workflow model — not yet measured clinical outcomes.

  • Patent-Pending

    Mode 1 decision support · U.S. Prov. App. 64/052,897

  • ESI-Aligned

    Built on AHRQ's Emergency Severity Index framework

  • PHI by Design

    HIPAA-aligned architecture with role-based access

  • Grounded in Federal Data

    Modeled on CMS, FAIR Health & HCUP datasets

For Payers

Built for Whoever Bears the Cost of Avoidable ED Visits

Mode 1 makes clinically appropriate transport a covered member benefit. The payer funds it; members get a faster path to the right care setting; NeXtriage provides the triage recommendation and the member chooses — whether the book is commercial, government, or self-funded.

Commercial & MA Plans

Reduce avoidable ED facility fees and ambulance spend across fully-insured and Medicare Advantage books — episode by episode.

Government Programs

Give managed Medicaid and other high-ED-utilization populations a guided, plain-language path to the appropriate care setting.

Self-Funded Employers & TPAs

Direct claims savings on every avoided ED episode, with transparent per-episode reporting your stop-loss carrier can audit.

How the benefit works for everyone involved

What Members Get

  • →A faster path to the right care setting, without the default of a long ED visit.
  • →Lower out-of-pocket exposure when low-acuity transport is clinically appropriate.
  • →A clear, plain-language recommendation — the final choice stays with the member.

What the Plan Gets

  • →Lower per-episode transport spend when an alternative substitutes for an ambulance in clinically appropriate cases.
  • →Reduced ED facility-fee exposure when members choose urgent care, primary care, or telehealth for non-emergent needs instead.
  • →Earlier touchpoints that can catch issues before they escalate into avoidable admissions.

What Compliance & Actuarial Will Ask

  • →Transparent, ESI-aligned acuity recommendations¹ that are audit-able after the fact.
  • →Patient-confirmed disposition — member autonomy preserved by design.
  • →PHI handled by-design; no third-party data sales; built for plan-level security review.
Request a Payer Briefing

1 Acuity references the Emergency Severity Index (ESI), a five-level triage algorithm maintained by the Agency for Healthcare Research and Quality. See: AHRQ, Emergency Severity Index Implementation Handbook (AHRQ Publication No. 20-0046-EF).

Mode 1 · Patent-Pending

Pre-Hospital Decision Support

Triage that starts before a patient ever reaches a waiting room. For clinically appropriate low-acuity cases, NeXtriage recommends a rideshare-class transport — and the patient chooses — helping reserve ambulances and ED capacity for the cases that need them.

Patient-Initiated Triage

Patients access NeXtriage through their payer plan. The platform performs a conversational symptom assessment before any transport resource is dispatched.

Right-Sized Transport

When the case is consistent with low-acuity ESI levels (3–5),¹ NeXtriage offers a rideshare-class transport to the right destination.

Patient Confirms

The patient is shown the recommendation in plain language and retains the final choice. PHI is handled by-design.

1 Acuity levels reference the Emergency Severity Index (ESI), a five-level triage algorithm maintained by the Agency for Healthcare Research and Quality. ESI levels 3–5 correspond to lower-acuity presentations. See: AHRQ, Emergency Severity Index Implementation Handbook (AHRQ Publication No. 20-0046-EF).

NeXtriage's pre-hospital decision-support method is the subject of U.S. Provisional Patent Application No. 64/052,897, filed April 29, 2026.

See it in action

A 24-hour patient flow, side by side

Switch markets below — left panel is business-as-usual ED flow; right panel is the same day when low-acuity cases are seen at urgent care via rideshare instead, on NeXtriage's recommendation.

NeXtriage ED Orchestration Simulation — Miami market

Open the full Miami simulation

Illustrative model. Hospital locations and freestanding ED data from federal sources (CMS Provider of Services, Q1 2026). Ambulance rates from FAIR Health; condition-cost ranges from HCUPnet. Patient flow patterns are directional estimates, not clinical predictions. For demonstration purposes only.

For ED & Hospital Partners · Mode 2

Stop Revenue From Walking Out the Door

Mode 1 only works when facilities want in. Mode 2 gives your network EDs faster intake and lower "Left Without Being Seen" (LWBS) rates — recovering revenue for the facility, which is what makes hospitals willing partners in a payer-funded program.

ROI Calculator

Calculate your revenue recovery potential

patients/year

Total emergency department visits annually

%

"Left Without Being Seen" percentage

Annual Revenue Lost
$1,717,500

2,500 patients walking out annually

NeXtriage Recovery Potential
$515,250

Potential savings with 30% LWBS reduction

Based on industry average revenue of $687/visit (Western Journal of Emergency Medicine).

Ready to Take On Avoidable ED Spend?

See how NeXtriage helps members choose the right care setting for your plan — and speeds up triage inside your partner facilities.

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