Emergency care has one front door.
We're building the other.
When the only path to care is the ambulance and the ED, low-acuity cases clog the system and high-acuity emergencies wait for the same finite capacity. NeXtriage adds triage at every step — before patients ever reach a waiting room, and again from door to discharge inside the ED.
Two symptoms, one underlying problem
Emergency capacity is finite — and the care chain is built around one default destination. The result is friction at both ends: non-emergent visits absorb resources meant for emergencies, and emergencies wait for capacity that's already in use.
Low-acuity volume defaults to the ED
Members with non-emergent symptoms call 911 or go straight to the ED because there's no clear, trusted alternative path at the moment they need help. They consume time and capacity that emergencies need.
The ED itself is overwhelmed
Inside the facility, paper protocols, manual documentation, and whiteboard tracking slow down intake and decision-making. Every minute of delay grows wait times, LWBS rates, and staff burnout.
Each problem is real on its own. Together they describe a system that asks one resource — the ambulance and the ED — to absorb everything from a sprained ankle to a stroke, with the same speed and the same finite capacity.
Right care. Right place. Right time.
NeXtriage is a triage-first platform that operates at two points in the care chain — and treats them as one continuous workflow rather than two disconnected products.
Mode 1 · Patent-Pending
Pre-Hospital Diversion
Members access NeXtriage through their health plan and describe their symptoms in plain language. For clinically appropriate low-acuity cases (ESI 3–5),¹ the platform offers a rideshare-class transport to the right destination — urgent care, primary care, telehealth — instead of defaulting the patient into the ED. The patient sees the recommendation and retains the final choice.
Mode 2
In-Facility Triage
For the patients who arrive, NeXtriage replaces paper protocols and whiteboards with QR-code intake, ESI-aligned acuity suggestions with transparent reasoning, real-time patient flow dashboards, and automated documentation. Door-to-provider time drops; LWBS losses drop; staff time shifts from charting to bedside care.
The two modes share the same clinical foundation — ESI-aligned acuity scoring, transparent reasoning, audit-able decisions, and clinician judgment as the final authority where it's clinically required. The same platform that helps a member skip an unnecessary ED trip also helps the ED move the next patient through faster.
Who benefits
Triage at every step produces value at every node in the care chain — not just one stakeholder.
Patients
Faster route to the right care setting; lower out-of-pocket exposure when low-acuity transport is appropriate; clarity and choice at every step.
Health Plans (Mode 1 buyer)
Lower per-episode transport spend; reduced ED facility-fee exposure; earlier touchpoints catching issues before they escalate.
Hospitals & Emergency Departments
ED capacity preserved for higher-acuity cases (Mode 1); reduced LWBS losses and faster throughput inside the facility (Mode 2).
EMS & 911 Systems
Each diverted non-emergent call is one more ambulance available for a true emergency.
Clinical Staff
Less time charting, more time at the bedside; standardized scoring lowers cognitive load on every shift.
Communities & Public Health Systems
Better EMS availability for the broader population; lower per-capita emergency-care spend over time.
The pieces have just arrived at the same time
Conversational symptom triage is finally reliable enough
Modern conversational systems can hold a structured, plain-language symptom dialogue that maps cleanly to the ESI framework — with transparent, auditable reasoning that compliance teams can defend.
Health plans are investing in care navigation
Member-facing nurse lines and care navigation programs are expanding — but most still default to “go to the ED” when uncertain. NeXtriage gives plans a triage-first front door with a real alternative-transport pathway behind it.
The ED capacity crisis is structural, not cyclical
Rising visit volumes, persistent staffing shortages, and margin pressure are not going to ease on their own. Mode 2 recovers throughput inside the facility; Mode 1 reduces the upstream demand that makes the throughput problem worse.
The diversion approach is now defensible to file on
Pre-Hospital Diversion is the subject of U.S. Provisional Patent Application No. 64/052,897, filed April 29, 2026. The novel work — combining patient-initiated triage, clinically validated acuity scoring, and right-sized transport routing — is now protected as it goes to market.
Why us
Clinically vetted: Built and validated with experienced ER nurses and physicians; ESI-aligned by design.
Technical depth: Engineering team with experience shipping healthcare technology at scale and a security posture built for plan-level review.
Location advantage: Nashville — home to 900+ healthcare companies and 18 health system HQs — gives us close access to both buyer audiences (plans and hospitals) for design partnership.
1 Acuity references 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). LWBS net-revenue figure cited elsewhere on this site is from Pham JC et al., Western Journal of Emergency Medicine, 2009.