# Migrating from NueMD to Medi

A billing-company guide to NueMD's sunset: what to export, how to protect legacy A/R, and how to move revenue cycle work forward without losing balances.

URL: https://medibilling.app/migration/nuemd
Last reviewed: 2026-07-27

# Migrating from NueMD to Medi

## Short answer

NueMD retires on December 31, 2026. AdvancedMD, which acquired NueMD in 2018, has confirmed the software and its support end that day and is directing customers to move to AdvancedMD or leave. If you do not want AdvancedMD's per-provider pricing, plan your migration now. Plan on about one business day per practice for Medi cutover work once exports and enrollment inputs are ready. That is a planning target, not an average from completed migrations, and the Medi team runs the cutover as a concierge project rather than through self-serve tooling. NueMD exports patient demographics and historical charges cleanly, but payer enrollment, open-claim working state, and ERA routing do not move to any new system automatically. The pattern that protects revenue is a forward-only cutover with legacy A/R closeout running in NueMD before the deadline. See the [NueMD page on AdvancedMD](https://www.advancedmd.com/nuemd/) and the [NueMD migration page](https://www.advancedmd.com/nuemd/migration/) for the official notices.

## Why NueMD users are migrating now

NueMD has been an AdvancedMD property since the 2018 acquisition closed. It kept operating as its own platform for years, serving small and mid-size practices across internal medicine, pain management, urgent care, and other specialties. It ran its own clearinghouse and gave billing companies a lower-cost alternative to larger RCM suites.

That is ending. AdvancedMD will retire NueMD software and support on December 31, 2026. After that date, logins stop, and the NueMD clearinghouse no longer routes claims or delivers ERAs. Phone support has already wound down to in-app ticketing and limited live chat. The message to customers is direct: move to AdvancedMD or move somewhere else.

The forced deadline is harder on a billing company than on a single practice. A book of eight to twenty practices means coordinating enrollment, parallel runs, and staff training across every client account before a date nobody can extend.

## What comes across and what does not

Some categories transfer cleanly; others have to be rebuilt.

| Data type | Transfer status | What to do |
|---|---|---|
| Patient demographics | Transfers cleanly | Export from NueMD, import to Medi via a standard demographic file |
| Insurance coverage and payer IDs | Transfers with review | Payer IDs can differ between NueMD and Stedi; audit each coverage record |
| Historical charge records and open balances | Transfers as a read-only reference ledger | Loads preserved to the cent, visible beside live work, but excluded from active A/R, aging, and statements until deliberately promoted |
| Paid claim history (last 12 months) | Transfers with preparation | Keep for year-over-year reporting continuity |
| Provider NPIs and billing identifiers | Transfers cleanly | Verify taxonomy and billing-group NPI before first submission |
| Active fee schedules | Requires re-entry | No clean structured export; document and re-enter in Medi |
| Payer enrollment (837 and 835) | Does not transfer | Re-enroll at Stedi for every payer; start on contract day one |
| Open-claim working state | Does not transfer | Document follow-up notes before cutover |
| In-flight appeals | Does not transfer | Record payer reference number, submission date, and next-action date for each |
| Unposted ERAs | Does not transfer | Post all pending ERAs in NueMD before cutover |
| Per-payer scrub rules | Does not transfer, and has no per-payer equivalent in Medi | Document what they caught in NueMD; Medi runs one global pre-submission scrubber, and the payer rules you can author are auth and referral requirements |
| Appointment scheduling data | Out of scope for a billing-only move | Keep NueMD readable for scheduling history if needed |

Payer enrollment is the category that bites hardest in a forced sunset. NueMD runs its own clearinghouse, and that clearinghouse dies with the platform. Every payer enrollment held through it ends on December 31, 2026. Re-enrollment at Stedi, Medi's clearinghouse, is a separate process for each payer, and the payers set those timelines, not either software vendor.

## How to protect legacy A/R

Do not make open A/R live and workable in the new system before it is collected. Open claims, aged follow-up, and denial threads that have run for weeks all carry context inside NueMD that does not survive export. Re-creating that work on a cutover timeline packs too much risk into too short a window.

The history and the balances still come across. Medi loads the imported ledger as a read-only historical reference, preserved to the cent and visible beside live work, but held out of active A/R, aging, statements, and work queues until someone promotes a claim deliberately on a dated action. That is the point: nothing gets stranded in a platform that goes dark on December 31, and nothing unverified lands in the active book.

Run it forward-only instead. New charges go into Medi on cutover day. Claims dated before cutover stay in NueMD for a 60 to 90 day legacy A/R closeout, and ERAs for those claims keep posting in NueMD through that window. Staff work the legacy bucket down in NueMD and enter new work in Medi at the same time. The two systems run in parallel until the legacy bucket is empty.

The closeout window cannot run past December 31, 2026, because NueMD goes dark that day. Any claim still open at the deadline has to be collected first, moved into Medi as an active claim with documented working state, or written off when collection is not worth the effort. So end the closeout well before December 31, not on it. Completing cutover by October 1, 2026 leaves about 90 days of closeout inside a live NueMD account before the hard stop; books with high volume or complex payer mixes should cut over earlier.

## Day-zero cutover checklist

- Export patient demographics, insurance coverages, provider NPIs, and taxonomy codes from NueMD before cutover day
- Verify that the Medi import accepted every patient, charge, and payment record, and spot-check at least twenty records for accuracy. Those three are the import lanes; provider records are set up in Medi rather than imported, so check them against the NueMD export separately
- Confirm payer enrollment at Stedi is active for the top three payers by claim volume before the first production claim
- Confirm 837 claim submission with one test claim that passes scrub and reaches the clearinghouse
- Confirm 835 ERA enrollment with one test remittance for at least one payer
- Post all pending ERAs in NueMD before setting the account to read-only for new charges
- Document every open claim in NueMD with its working state, follow-up notes, payer contact history, and next-action date
- Document each in-flight appeal with payer reference number, submission date, appeal level, documents submitted, and next-action deadline
- Set NueMD to read-only for new claim creation for the practice that has cut over
- Confirm new charges for that practice enter Medi only, with a clear date-of-service boundary every biller understands
- Notify the practice that NueMD is read-only for new billing and that legacy claims will be worked there for 60 to 90 days
- Record the cutover date and date-of-service boundary in writing, shared with both the NueMD-side and Medi-side teams

## How long do you have?

The hard deadline is December 31, 2026. Being off NueMD means more than cutting over to a new system: it means the legacy A/R closeout is finished and verified before that day. Working backward:

- A 90-day closeout ends December 31 only if cutover happens by October 1
- Stedi enrollment takes several weeks per payer at minimum, so start enrollment by August for an October cutover
- A book of ten clients plans out to roughly ten business days of Medi cutover work once the inputs are ready

For five or more practices, do not wait until the final quarter of 2026. Payer enrollment, parallel-run reconciliation, and legacy A/R closeout all need calendar room before NueMD goes dark, on top of the per-practice cutover work itself. Contact [the Medi team](/demo) to start enrollment, because payers set those timelines and paying more does not shorten them.

## How Medi runs the migration

Migration is a concierge service. The Medi team, working-biller-run, does the cutover work with you directly; there is no self-serve migration uploader you drive yourself. Migration pricing is published and per-practice, so you know the number before the project starts.

Medi designs every migration to the same shape regardless of source platform, and NueMD is one Medi has not run before, so treat the shape as the plan rather than a rehearsed routine:

- Forward-only cutover, with new charges entering Medi on and after the cutover date
- Legacy A/R closeout, with pre-cutover claims worked down in the source system over 60 to 90 days, and the historical ledger loaded into Medi as read-only reference so the balances are not stranded
- Payer re-enrollment through Stedi, payer by payer, starting on contract day one. Enrollment is re-established, not imported
- Practice-by-practice rollout, simplest practice first, planning on about one business day of Medi cutover work per practice once inputs are ready

Migration is free with a 12-month commitment, or a one-time $100 per client practice (capped at $3,000 for the book) month-to-month. Data export is always free in standard formats, and there is no early-termination fee. The annual commitment is the only lock-in; your data never is.

Medi's pricing starts at $1.00 per claim and drops to $0.90 and $0.80 once monthly volume passes the published thresholds, whether a claim has one service line or twelve, with ERA and remittance posting included in that price. There is no monthly fee, no per-practice fee, and no per-provider fee, so cost tracks the volume Medi actually processes instead of headcount at either level. Other transactions: eligibility $0.25, claim status $0.20, COB inquiry and attachments $1.50. Those last two are in controlled rollout and enabled per billing company during onboarding, so confirm what is turned on for your book. 277CA acknowledgments and PDFs are included. No annual contract is required. See [pricing](/pricing) for the full schedule.

Medi routes all EDI through Stedi: 837 professional claim submission, 835 ERA, 270/271 eligibility, 276/277 claim status, and 277CA acknowledgments. Coming from NueMD, the clearinghouse change is the biggest operational shift. NueMD's internal clearinghouse and Stedi have different payer connection sets and scrub behavior, so the first two weeks of production are a normal calibration period. Plan for it instead of reading it as a problem. The [billing company software evaluation guide](/docs/billing-company-software-evaluation-guide) covers what to verify when evaluating platforms under deadline pressure.

## Frequently asked questions

### When is NueMD shutting down?

AdvancedMD has confirmed NueMD retires on December 31, 2026, with software access and support ending that day. After it, logins stop and the clearinghouse no longer routes claims or delivers ERAs. Phone support wound down earlier in 2026, leaving in-app ticketing and limited live chat until the sunset. The official notice is on the [NueMD page](https://www.advancedmd.com/nuemd/).

### Can I export my NueMD data?

Patient demographics, insurance records, and charge history are accessible through NueMD's reporting tools and export for migration. Historical claim records export for reference. What does not export in usable form is the working state of revenue cycle operations: follow-up notes on open claims, denial investigation threads, in-flight appeal documentation, and per-payer scrub configurations. Request and verify your export before the account closes; AdvancedMD has not published clear commitments on post-shutdown retrieval from a retired platform.

### Do I have to move to AdvancedMD?

No. AdvancedMD is the path the parent company is promoting, but nothing requires you to take it. You can move to any RCM platform that fits your operation. For a billing company, the question is whether the replacement is built around the billing company as the primary user or around individual practices with a multi-client layer bolted on top.

### What happens to my open claims when NueMD shuts down?

When NueMD closes on December 31, 2026, the context for working open claims goes with it. The notes, denial history, payer contact record, and follow-up thread are not recoverable from a retired system. The protection is to finish the legacy A/R closeout before the deadline and document every open claim's working state in writing before cutover. Anything still open at the deadline has to be re-entered manually with whatever documentation you preserved, or written off.

### Do I need to re-enroll with every payer when I leave NueMD?

Yes. NueMD's payer enrollments are tied to its own clearinghouse submitter IDs, so they do not carry to a platform on a different clearinghouse. Every enrollment for 837 claim submission and 835 ERA receipt has to be re-established at the new one. Medi routes through Stedi. Medicare and state Medicaid take the longest; commercial payers vary. Start enrollment the day you sign.

### Is the NueMD situation like the Tebra migration?

The mechanics match; the timeline pressure does not. Tebra is not being sunset on a hard date and NueMD is, which makes the NueMD move more time-bound and less negotiable. The [Tebra migration guide](/migration/tebra) covers the forward-only approach, legacy A/R closeout, and payer enrollment in detail, and those sections apply here. The NueMD-specific risk is the deadline: you cannot extend the closeout past December 31, 2026, or keep a read-only NueMD account open for historical access after it.

### How current is this guide?

Last reviewed 2026-07-27, and refreshed monthly. The retirement date and AdvancedMD's transition terms can change, so confirm them directly before you plan a cutover. The official notices are the [NueMD page on AdvancedMD](https://www.advancedmd.com/nuemd/) and the [NueMD migration page](https://www.advancedmd.com/nuemd/migration/). Transition-risk benchmarks come from the [Medical Billers and Coders 30-Day Transition Playbook](https://www.medicalbillersandcoders.com/blog/switch-medical-billing-companies/) and payer-enrollment constraints from the [CMS Electronic Billing and EDI Transactions guidance](https://www.cms.gov/medicare/coding-billing/electronic-billing). Verify the shutdown date and payer enrollment requirements with AdvancedMD and each payer before committing to a timeline.