How much does Nym cost?

Enterprise sales led; no public pricing.

What are the best alternatives to Nym?

Based on documented capability coverage across the Agentic Index 14 point taxonomy, the closest alternatives to Nym among healthcare agents are CodaMetrix, AKASA, Anterior, Claim Health. Each is graded on the same public evidence, and no vendor pays for placement.

Does Nym require human approval before an agent acts?

Full under the Agentic Index verification standard. Nym publishes public evidence of human approval steps and guardrails, so an agent action can be held for review before it executes. Evidence basis: Published confidence threshold governs autonomy: encounters route to billing above 95 percent confidence and return to human coders below it, the flagship guardrail, Nym technology docs 2026-07-22. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does Nym have SOC 2, SSO and role based access control?

Partial under the Agentic Index verification standard. Nym publishes some public evidence of security and identity controls, but narrower than the full set of SOC 2, single sign on (SSO) and role based access control (RBAC). Evidence basis: HIPAA compliance and PHI security addressed in vendor FAQs; no SOC 2 or other attestations documented in retrieved materials, Nym materials 2026-07-22. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

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Nym

Q: Who is Nym for?

health systems, hospitals, physician groups

Also known as: Nym Health

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Healthcare agentindependentVerified 2026-07-22

Entry priceContact salesFull pricing detail

Autonomous medical coding engine processing 5.5M+ charts annually across 250+ facilities, routing encounters to billing with zero human intervention when confidence exceeds its published 95% threshold, with full audit trails for every code.

Nym's autonomous medical coding engine assigns ICD-10 and CPT codes to patient encounters in seconds with zero human intervention, processing over 5.5 million charts annually across 250+ US healthcare facilities.

Its proprietary Clinical Language Understanding technology combines rules based clinical ontologies encoding AMA, CMS, and WHO guidelines with machine learning, maintaining complete explainability: every chart carries a full audit trail drilling down to the specific guidelines, chart sections, and words behind each code. Encounters route directly to billing when coding confidence exceeds 95 percent; below threshold charts return to human coders.

Nym publishes its accuracy threshold and jointly evaluates coding accuracy with customers on an ongoing basis, expecting 50 to 70 percent of complete records coded autonomously across six specialties including emergency medicine, radiology, and outpatient surgery.

Vendor details

Canonical URL

https://nym.health

Funding status

Venture backed

Company status

independent

Use cases & customers

Primary use cases

autonomous medical codingemergency department codingradiology codingcoding audit trails and compliance

Target customers

health systemshospitalsphysician groups

Deployment options

SaaS

Integrations

Integrates with all major EHRs (Epic, Oracle Health/Cerner, MEDITECH) via FHIR, plus HL7, XML, and EDI interfaces, routing coded encounters directly to billing systems.

Sources & related URLs

Research sources

https://nym.health/autonomous-medical-coding/nym-engine/ https://nym.health/autonomous-medical-coding/the-technology/ https://nym.health/autonomous-medical-coding/implementation/

Agentic Index coverage score

8.0 / 14 capabilities · 57%

Integrations & Tool Calling	Full
FHIR based integration with all major EHRs including Epic, Oracle Health, and MEDITECH plus HL7, XML, and EDI interfaces, routing coded encounters directly to billing systems, Nym implementation docs 2026-07-22
Workflow Orchestration	Full
Full pipeline from chart ingestion through CLU parsing, code assignment, and direct routing to billing with zero human intervention, with below confidence charts routed to coders, Nym engine docs 2026-07-22
Knowledge Grounding & RAG	Full
Clinical Language Understanding with rules based clinical ontologies encoding AMA, CMS, and WHO coding guidelines through semantic representation and ontological linking, Nym technology docs 2026-07-22
Human Oversight & Guardrails	Full
Published confidence threshold governs autonomy: encounters route to billing above 95 percent confidence and return to human coders below it, the flagship guardrail, Nym technology docs 2026-07-22
Security, Identity & Governance	Partial
HIPAA compliance and PHI security addressed in vendor FAQs; no SOC 2 or other attestations documented in retrieved materials, Nym materials 2026-07-22
Observability & Auditability	Full
Full audit trail for every coded chart drilling down to the specific guidelines, chart sections, and words behind each code assignment, with complete explainability as the differentiator, Nym explainability materials 2026-07-22
Memory & State Persistence	Unable to verify
No documented persistent agent memory capability, Nym docs 2026-07-22
Deployment & Data Residency	Partial
SaaS layering on existing enterprise IT stacks; no self host or residency options documented, Nym materials 2026-07-22
Prebuilt Agents, Templates & Packs	Partial
Multispecialty coverage across six specialties and service lines including emergency medicine, radiology, and outpatient surgery; specialty coverage rather than an agent library, Nym engine docs 2026-07-22
Triggers & Channel Coverage	Partial
Encounter arrival drives continuous autonomous processing; the trigger surface is not documented as a first class configurable capability, Nym docs 2026-07-22
Model Flexibility & Routing	Unable to verify
Proprietary CLU hybrid of rules based ontologies and machine learning; no customer facing model choice or routing, Nym technology docs 2026-07-22
APIs, SDKs & MCP Extensibility	Unable to verify
HL7, FHIR, XML, and EDI are data interfaces; no public developer API, SDK, or MCP extensibility surface documented, Nym materials 2026-07-22
Testing, Debugging & Optimization	Full
Nym and the customer regularly evaluate coding accuracy of Nym coded charts against a published 95 percent accuracy threshold on an ongoing basis, a documented joint evaluation regime, Nym implementation docs 2026-07-22
Browser & Computer Use	Unable to verify
Operates on clinical text and system interfaces, not browser or computer interface control, Nym materials 2026-07-22

The Agentic Index coverage score grades every vendor Full, Partial or Unable to verify against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Pricing

Contact sales

What is public

No public pricing. Nym publishes its 95% accuracy threshold and expected 50 to 70 percent autonomous coding coverage, plus a three phase implementation timeline, but no commercial terms.

Variable cost rationale

Enterprise pricing scoped to chart volume and specialty mix; no public rates.

Sales call required

Yes, required for paid access

Free / trial

None public

Agentic Index verified 2026-07-22

Related vendors

Alternatives to Nym

The closest documented capability profiles to Nym among healthcare agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

CodaMetrix6.5 / 14A lighter documented profile than NymNym vs CodaMetrix →
AKASA6.0 / 14A lighter documented profile than NymNym vs AKASA →
Anterior7.0 / 14Fuller documented coverage on Prebuilt Agents, Templates & Packs
Claim Health9.0 / 14Adds documented Memory & State Persistence and APIs, SDKs & MCP Extensibility
Cedar6.5 / 14Fuller documented coverage on Triggers & Channel Coverage
Cohere Health7.5 / 14Fuller documented coverage on Prebuilt Agents, Templates & Packs and Triggers & Channel Coverage

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Compare Nym with other vendors →Compare all healthcare agents →See where Nym ranks →

Data confidence: high

Head to head

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