Claims-to-Cash

You did the work. The file gets a Submit, Hold, or Fix decision before it reaches the carrier.

Claims-to-Cash is a pre-submission file review for restoration contractors with 1–20 locations and $1M+ in annual revenue. Every enrolled file is checked against your carriers' actual denial and reduction patterns, and returns a decision before you send it, not a dispute after you don't.

Every file lands on one of three outcomes.

Not a vague "looks good." A specific decision, before the file goes out.

Submit

Scope, evidence, and pricing all support the work performed. The file is ready.

Hold

Critical information is missing. The file waits until it's resolved, not after the carrier finds it.

Fix

Specific scope, documentation, or pricing corrections are needed before this file goes out.

Who this is for

Water, fire, smoke, and mold restoration contractors: 1 to 20 locations, $1M+ in annual revenue.

If claim volume is still low enough that you personally read every file before it goes out, this earns its keep later, not yet. Claims-to-Cash matters the moment a reduction stops being one bad file and starts being a pattern across estimators, crews, or locations. And you can see the total on the P&L but not which file is causing it.

What usually forces the question.

  • The controller flags a reduction pattern in the monthly numbers, but can't point to which files or which estimators are driving it.
  • A carrier just cut equipment days or scope on a file your team thought was clean.
  • You're opening a new location and don't want the same documentation habits to scale with it.
  • A TPA review came back with findings your team had no answer for. Because the file never anticipated the question.

What NanoForce actually does. Two passes, every file, no exceptions.

This is the real sequence a file runs through. Not a simplified version of it.

Restoration technician reviewing job documentation on a tablet in the field, with a second technician performing moisture readings on an active water loss job in the background
Pass 1

Gap identification, before submission

Estimate header, equipment monitoring notation, psychrometric completeness, category and class, scope-to-estimate alignment, and cause-of-loss narrative. Checked against the denial patterns we've documented for each of your carriers, not a generic checklist.

Pass 2

Correction and defense language

We write the language that makes each correction hold up: the fact, the standard it's grounded in, the defensible action. Your team executes the specific fix. The file that goes out was built to survive a second look.

Ongoing

Carrier response support

If a carrier reduces or disputes after submission, we read the response, pull that carrier's known behavior, and build the rebuttal your team sends. Same business day.

Why Xactimate and Encircle don't catch this

Xactimate defaults every equipment line to "No Monitoring." Every time.

Your estimating software doesn't flag its own defaults. Encircle doesn't check itself against the estimate. Nobody's job is to confirm that what's in the field documentation, the psychrometric log, and the Xactimate line items all tell the same story. So a carrier finds the mismatch before you do.

What you actually receive on every file.

01

Exact location of every flag

Not "documentation could be stronger." The specific line item, the specific gap, the carrier pattern it maps to.

02

Correction language your estimator can paste in

Written to the standard, not generic filler. Your team executes. NanoForce never touches the file.

03

Carrier-specific documentation requirements, current for your state

Built from real claim files and denial patterns. Not a generic adjuster handbook.

04

A Submit, Hold, or Fix decision on every file

You always know exactly where a file stands and exactly what closes the gap, not a vague "documentation could be stronger."

With NanoForce vs. without it.

The same file, run two different ways.

Where the file standsWithout NanoForceWith NanoForce
Carrier-specific denial patternsLearned after a reduction landsChecked against documented patterns before you submit
Missing scope or proof gapsFound when the carrier flags themCaught in Pass 1, while evidence is still easy to prove
Submission decisionA gut callSubmit, Hold, or Fix on every file
Correction languageWritten under deadline pressureDrafted in Pass 2, built to survive a second look

What NanoForce is. And isn't.

Positioning matters more here than almost anywhere else in the business.

FunctionNanoForceA public adjuster
Reviews documentation before submissionYesNot typically
Submits the claim to the carrierNo. You doSometimes
Negotiates directly with the carrierNo. You doYes
Keeps you in control of the relationshipAlwaysVaries

NanoForce provides documentation audit and carrier intelligence only. You submit and manage your own claims at all times. Nothing here is legal advice.

One file, before and after.

Illustrative structural example. This is what a Submit decision looks like once Pass 1 and Pass 2 are done.

Hand reviewing a claim file with a red pen, circling a documentation gap before carrier submission
Commercial water lossCORRECTED
Flags found in Pass 1Monitoring notation, dry standard, demo addendum
$41,206$58,940
Corrected through documentation before submission. No dispute cycle required.

This file had three of the most common gaps NanoForce finds: equipment lines left on Xactimate's default "No Monitoring," no documented dry standard, and demolition scope with no signed addendum protecting against a spoliation defense.

All three were caught in Pass 1, corrected in Pass 2, and submitted clean. The file contained documented support for each of the three gaps before the carrier ever reviewed it.

See more file walkthroughs

Questions owners actually ask.

Is NanoForce a public adjuster?

No. NanoForce audits documentation before submission and provides carrier-specific intelligence. You submit and negotiate every claim yourself, at all times. We never contact a carrier or adjuster on your behalf.

Does this slow down submission?

No. Pass 1 runs on the file your team already builds. Most gaps are caught before your estimator would have submitted anyway; the correction happens in the same workflow, not as a separate delay.

What if our documentation is already pretty good?

Good. Pass 1 runs on every file regardless, so you'll see that reflected in a high audit score with minor corrections rather than a rework list. The value shows up the first time a carrier tries a reduction pattern you didn't know they used.

What does a Submit, Hold, or Fix decision actually mean?

Every enrolled file gets one of three outcomes before it's sent. Submit means scope, evidence, and pricing all support the work performed. Hold means critical information is missing and the file waits until it's resolved. Fix means specific corrections are needed first. It's a decision, not a vague opinion.

How is this priced?

A flat $2,000/month base plus a performance fee on confirmed recovery, the delta between what was submitted and what the carrier ultimately paid, after legitimate adjustments. No performance fee applies where there is no confirmed recovery; the fixed monthly service fee remains payable. Setup runs $5,000–$24,000 depending on location count.

Free download

See the six things worth checking before you submit.

One Carrier Decision: what changes across an entire file the moment a carrier reclassifies a loss, and the six things worth checking before you submit.

Bring one file. We'll show you Submit, Hold, or Fix.