Medical billing & claims
Electronic claim submission to 5,000+ payers. Scrubbing pre-flight against 750k rules. Resubmits on auto-pilot.
Learn more Revenue cycle that actually closes the loop
Get paid what you earned.
ClearClaim runs your claims, chases your denials, and reads out your numbers — so your team can stop fighting payers and get back to patients.
98.4%
Clean-claim rate
24
Days in AR (avg)
7%
Of net collected
app.clearclaim.health/dashboard
Revenue dashboard
Last 30 days · Cedar Creek Cardiology
Clean claim rate
98.4%
+ 2.1
Days in AR
24
− 11 days
Net collection
97.2%
+ 4.6
Collections vs. expected
Collected Expected
Denials needing attention
View all 14 → Aetna PPO CO-50 · No auth $2,840 3d
BCBS Federal CO-197 · No auth $1,210 5d
The numbers our clients quote on board calls.
Rolling 12-month average · 1,400+ providers
98.4%
Avg. clean-claim rate across active practices
24
Avg. days in AR (industry avg: 41)
+ 19%
Avg. net-collection lift in year one
< 5%
Avg. denial rate (industry avg: 11%)
Services
A platform plus a team.
We're full-service RCM so you don't have to be. Pick the modules you need today — add more when the time comes.
Denial management & AR
A real team works your denials within 24h — root-causes them, appeals them, and tells you how to stop them.
Learn moreMedical coding
AAPC- and AHIMA-certified coders for ICD-10, CPT, HCPCS, and modifiers. Audit-ready documentation.
Learn moreCredentialing & enrollment
CAQH, payer panels, NPI, revalidations. We track expirations so you never get dropped mid-quarter.
Learn moreEligibility & benefits
Real-time 270/271 checks at scheduling. Co-pay, deductible, and auth requirements before the patient walks in.
Learn morePatient billing
Statements, payment plans, and a patient portal that gets paid. SMS, email, and old-school mail.
Learn morePractice management
Scheduling, charts, and notes in one place. EHR-friendly. Built so the front desk can run it on day one.
Learn moreReporting & analytics
Dashboards the CFO opens and the office manager actually uses. KPI alerts when something drifts.
Learn more How it works
Six steps. One revenue cycle. Zero black boxes.
You see every step. So does your CFO. So does your auditor.
01
Eligibility
We verify benefits, co-pays, and auths before the visit so nothing surprises the front desk.
02
Coding
Certified coders translate the visit. Documentation is checked against payer rules in real time.
03
Submission
270k-rule scrubber catches what payers will reject. Clean claims go out within 24 hours.
04
Denials
When something does come back, a human appeals it within one business day — and tells you why.
05
Posting
ERA/EOB posted automatically. Patient balances triggered. Variances flagged for your review.
06
Reporting
Monthly call with your dedicated CSM. KPIs you can read; root causes you can fix.
Denial management
Denials worked by humans. Within a day.
Every denial gets a root cause, an appeal, and a memo on the encounter so the next claim doesn't bounce the same way. You see the queue. You see the dollars at risk. You see who's working what.
- Root-cause coded every time — payer, rule, encounter
- Appeals drafted within 24h, signed appropriately
- Weekly denial debrief with your dedicated CSM
- Coverage from CO-50 medical-necessity to PR-204 termination
Denials queue · 14 open
$ 18,420 at risk Patient · PayerDenial reasonAmountAgeOwner
M. Alvarez
Aetna PPO
CO-50 Not medically nec.
$ 2,840
3d
Appeal drafted R. Park
BCBS Federal
CO-197 No auth
$ 1,210
5d
Auth pulled D. Cole
UHC Medicare Adv
CO-16 Missing info
$ 480
1d
Auto-resub A. Khan
Cigna
PR-204 Coverage term.
$ 1,620
6d
Patient call Case studies
Real practices. Real numbers.
Cedar Creek Cardiology
Lifted net collection 19% in nine months.
+ 19%
Net collection
Read the story →
Northgate Orthopedics
Days in AR cut from 52 to 23 in two quarters.
− 56%
Days in AR
Read the story →
Willow Mental Health
Recovered $ 412k in stalled AR within 90 days.
$ 412k
Stalled AR recovered
Read the story →
Get started
Stop fighting your payers.
Start getting paid.
Tell us about your practice. We'll come back with an honest read on what's leaking — and what we'd do about it.
See pricing
Most demos booked within one business day.