NextGen billing, done inside your NextGen. Enterprise or NextGen Office: claims, denials and payments worked in your own account.
The AI drafts the codes from the signed note and your provider approves them. Our billing team does the rest inside NextGen, and you see every claim on your dashboard.
- NextGen Enterprise or Office
- No new software
- Commercial, Medicare, Medicaid
How we work in NextGen
Your NextGen, worked by our team.
NextGen is the fifth most-installed outpatient EHR in the US, with 4.2% of installs. Larger practices tend to run NextGen Enterprise; smaller ones, NextGen Office.
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Access
Our own logins, your rules
You add each person on our team as a named NextGen user with only the billing access you approve. You can switch any of them off.
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NextGen PM
Billing work in NextGen’s own screens
Charges, claims, ERA posting and denials are worked in NextGen Enterprise PM or NextGen Office, whichever you run.
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API program
NextGen’s API Developer Program
NextGen lets its clients build API apps for their own use at no fee. With your OK, we can connect that way. The billing work stays in your NextGen.
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No change
Your providers chart as they do today
Templates and sign-off stay the same. The one new step for providers is approving the codes the AI drafts.
Sources: Definitive Healthcare (installs, October 2025) · NextGen API programs. NextGen is a trademark of its owner. Marlow is an independent billing company, not affiliated with or endorsed by NextGen Healthcare.
Your dashboard
Every number, live. Next to NextGen, not instead of it.
Collections, denials, days to payment and open AR, for every claim we work in NextGen.
Try the live demo
See what your NextGen claims are missing.
Free · no obligation · no patient data in the form.
Start the audit- Sign a short BAAWe email it to you.
- Upload two reports12 months of 835s and your AR aging, both from NextGen.
- Get your practice profileDenials ranked by dollars, walked through on a call.
Questions NextGen practices ask.
Do we have to leave NextGen?
No. You keep NextGen, your data and your setup. We work in it as part of your team, and the only new step for your providers is approving the codes the AI drafts.
We run NextGen Office, not Enterprise. Does that matter?
No. Both have the billing tools we need. The screens differ, and the people on your account learn yours before go-live.
Who on your side sees our patient data?
Only the people working your account, after we both sign a BAA. Each has their own login, so every action is traced to a person. How we handle security.
What will this cost us?
3.5–5.5% of collections · annual agreement · 45-day opt-out. Payers pay you directly, into your bank account. We invoice our fee monthly from posted collections. See pricing.
How long does switching take?
About 30–45 days, with a parallel run before go-live. NextGen, your bank account and your payer contracts stay the same. See how switching works.
What if it isn’t working for us?
If it isn’t working in your first 45 days, you can leave, no questions asked. After that it’s an annual agreement, which sets out the notice and how your files come back to you.
Keep NextGen. Hand us the billing.
3.5–5.5% of collections · annual agreement · 45-day opt-out
Rather start with your numbers? Get a free billing audit.