How much does Nym cost?

Enterprise sales; no public rates.

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 Anterior, Charta Health, CodaMetrix, Humata Health. Each is graded on the same public evidence, and no vendor pays for placement.

Does Nym give you tracing and observability into agent runs?

Full under the Agentic Index verification standard. Nym publishes public evidence of tracing, observability and audit logging into agent runs, so a team can see what an agent did and why. Evidence basis: Every coded encounter carries an audit trail showing the clinical findings behind each code, links to the guidelines applied and the reasoning for the assignment, and customized dashboards report coding performance in real time. 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: Nym is SOC 2 Type II certified and ISO/IEC 27001:2022 certified for its coding software, and HIPAA compliant. It names no SSO, roles or permission model for the customer's users. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Does Nym require human approval before an agent acts?

Partial under the Agentic Index verification standard. Nym publishes some public evidence of guardrails or oversight, but narrower than a documented human approval step before an agent acts. Evidence basis: A 95 percent confidence threshold decides which encounters go straight to billing and which return to human coders. Coded encounters reach billing without humans approving the codes, so people review only the encounters that fall below the. Graded from public evidence only against the Agentic Index 14 point capability taxonomy. No vendor pays for placement.

Back to vendors

Nym

Q: Who is Nym for?

health systems, hospitals, physician groups

Also known as: Nym Health

Visit site

Healthcare agentindependentVerified 2026-09-29

Entry priceContact salesFull pricing detail

Autonomous medical coding engine that codes encounters in seconds and routes them to billing above a 95 percent confidence threshold, returning the rest to coders, with an audit trail of findings and guidelines behind every code. Nym is SOC 2 Type II and ISO 27001 certified.

Nym's autonomous medical coding engine assigns ICD-10 and CPT codes to patient encounters in seconds across six specialties and service lines, including emergency medicine, radiology, outpatient surgery and outpatient visits, for health systems and physician groups. Its Clinical Language Understanding technology combines machine learning models with rules based clinical ontologies encoding AMA, CMS and WHO guidelines, which Nym's compliance and clinical teams update on each effective date.

The engine runs in the background, routes encounters to billing when coding confidence exceeds 95 percent without human approval of the codes, and returns the rest to the customer's coders. Every coded encounter carries an audit trail of the clinical findings, guideline references and reasoning behind each code, and dashboards report coding performance in real time. Implementation takes three to six months, with launch gated on 95 percent accuracy in a user acceptance audit and ongoing joint accuracy reviews. Nym is SOC 2 Type II and ISO 27001:2022 certified and HIPAA compliant. Pricing is by sales conversation.

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 major EHRs to take in encounters and routes coded encounters directly to billing systems.

In practice

Your emergency department coders cannot keep up with volume. Nym codes ED encounters in seconds, sends the ones it is confident about straight to billing and returns the rest to your coders.

A coding backlog holds up claims. Nym runs in the background on every new encounter, cutting the revenue that sits waiting for final billing.

Auditors ask why a code was chosen. Each encounter Nym codes carries the clinical findings and guideline links behind every code.

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

7.5 / 14 capabilities · 54%

Integrations & Tool Calling	Full
The engine integrates with major EHRs to take in patient encounters and routes successfully coded encounters directly to the billing system, running in the background of existing workflows. Supported EHRs include Epic, Oracle Health (Cerner) and Meditech, connected through a FHIR based integration designed during discovery. SourceNym, nym.health/autonomous-medical-coding/nym-engine and /implementationread 2026-10-05
Workflow Orchestration	Full
The engine parses the chart with CLU, assigns codes and routes the encounter to billing when coding confidence exceeds 95 percent, returning the rest to the customer's coders. Sourcenym.health/autonomous-medical-coding/the-technologyread 2026-09-29
Knowledge Grounding & RAG	Full
Clinical Language Understanding combines machine learning with rules based clinical ontologies encoding AMA, CMS and WHO coding guidelines, which Nym's compliance and clinical teams update on each effective date (annual CPT and ICD-10, quarterly NCCI, ongoing HCPCS). Each code links to the guidelines it applied. CLU reads clinical context, negation, timing and subjectivity, so a note saying the patient denies chest pain is not coded as chest pain. SourceNym, nym.health/autonomous-medical-coding/the-technologyread 2026-10-05
Human Oversight & Guardrails	Partial
A 95 percent confidence threshold decides which encounters go straight to billing and which return to human coders. Coded encounters reach billing without humans approving the codes, so people review only the encounters that fall below the threshold. After launch, the customer needs no regular staff time for daily production. SourceNym, nym.health/autonomous-medical-coding/nym-engine and /implementationread 2026-10-05
Security, Identity & Governance	Partial
Nym is SOC 2 Type II certified and ISO/IEC 27001:2022 certified for its coding software, and HIPAA compliant. It names no SSO, roles or permission model for the customer's users. Sourcenym.health/autonomous-medical-coding/nym-engineread 2026-09-29
Observability & Auditability	Full
Every coded encounter carries an audit trail showing the clinical findings behind each code, links to the guidelines applied and the reasoning for the assignment, and customized dashboards report coding performance in real time. Sourcenym.health/why-nymread 2026-09-29
Memory & State Persistence	Not documented
Each encounter is coded on its own, from its own documentation against maintained guidelines. Nym names no memory for the engine, what it would keep or for how long. SourceNym, nym.health/autonomous-medical-coding/the-technologyread 2026-10-05
Deployment & Data Residency	Not documented
Implementation takes 3 to 6 months from contract to launch, in five phases, with a project champion, a coding lead and a technical team on the customer's side. Nym names no hosting region, region choice, customer environment or on premises option. SourceNym, nym.health/autonomous-medical-coding/implementationread 2026-10-05
Prebuilt Agents, Templates & Packs	Partial
One coding engine covers six specialties and service lines, which are emergency medicine, radiology, outpatient surgery, outpatient visits, inpatient professional services and urgent care. They are specialties within a single product, not separate products. SourceNym, nym.health/autonomous-medical-coding/nym-engineread 2026-10-05
Triggers & Channel Coverage	Full
The engine runs in the background, taking a first pass at patient encounters as they arrive and coding them in seconds without a person starting each one. Nym says the engine assigns those codes with zero human intervention. SourceNym, nym.health and /autonomous-medical-coding/nym-engineread 2026-10-05
Model Flexibility & Routing	Not documented
Coding runs on Nym's own machine learning models and rules based clinical ontologies (CLU). Nym names no third party model, routing or customer choice. It does not name its model architectures either. SourceNym, nym.health/autonomous-medical-coding/the-technologyread 2026-10-05
APIs, SDKs & MCP Extensibility	Not documented
The EHR and billing connections move data, and Nym's team builds them as designed during discovery. Nym publishes no API, SDK or MCP server for customers to build on. SourceNym, nym.health/autonomous-medical-coding/implementationread 2026-10-05
Testing, Debugging & Optimization	Full
Launch requires 95 percent or better accuracy on a user acceptance audit of the customer's historical charts, along with a 12 hour turnaround. Nym's auditing team audits a random subset of records the engine coded for critical errors, and Nym and the customer evaluate accuracy against the 95 percent threshold on an ongoing basis. SourceNym, nym.health/autonomous-medical-coding/implementationread 2026-10-05
Browser & Computer Use	Not documented
The engine works on clinical text through EHR and billing interfaces, layered on top of the customer's existing enterprise IT stack. Nym names no browser, desktop or computer control. SourceNym, nym.health/autonomous-medical-coding/nym-engineread 2026-10-05

The Agentic Index coverage score grades every vendor Full, Partial or Not documented 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 prices, plans or billing basis are published; a demo request is the route. Public commitments are the 95 percent accuracy threshold, 12-hour turnaround at go-live and a 3 to 6 month implementation.

Variable cost rationale

No billing basis or rate is published, so exposure to chart volume cannot be checked from public pages.

Sales call required

Yes, required for paid access

Free / trial

None public

Agentic Index verified 2026-09-29

Official pricing page

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.

Anterior8.5 / 14Adds documented APIs, SDKs & MCP Extensibility
Charta Health7.5 / 14Fuller documented coverage on Human Oversight & Guardrails
CodaMetrix6.5 / 14A lighter documented profile than NymNym vs CodaMetrix →
Humata Health7.5 / 14Adds documented Browser & Computer Use
Tennr6.5 / 14A lighter documented profile than Nym
Arintra7.0 / 14Adds documented Deployment & Data Residency

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

Nym vs CodaMetrixNym vs FathomNym vs CombineHealthNym vs AKASA

Nym