Independent specialty practices — the ones nobody built recovery for.

The specialties we know best

• Orthopedics & hand surgery — multi-procedure surgical claims with implants and modifiers. The more moving parts a claim carries, the more places a payer can pay it short.
• Spine — high-dollar procedures where a single downcode or denied line item is worth four figures, and where payer edits concentrate.
• Pain management — high volume, recurring procedures. One bundling edit misapplied to injection claims repeats quietly across an entire year.
• Sports medicine — office visits with same-day procedures, where modifier-25 bundling denials are a pattern category of their own.

Their peers fit the same profile — ENT, gastroenterology, dermatology, cardiology, and any independent practice whose revenue rides on procedures. Ambulatory surgery centers too: ASC claims carry exactly the complexity where underpayment hides.

Why good billing teams miss it

This is not a gap in your team's work. A biller's job is keeping claims moving — and payer-side shortfalls are built to look like finished business. Catching them means checking every remittance line against the contracted rate for that code, payer by payer, on claims that show a zero balance.

Your billing team was never staffed to fight this. No practice of 3 to 15 physicians employs someone to re-audit finished business. And chasing a single $180 shortfall never pays for the hour it takes — it only becomes worth doing when someone finds the four hundred claims that follow the same pattern and pursues them as one case. That is the job we built Clearia to do.

How we do that job — the process, with sample reports →

A note for your practice administrator

You'll be the one who makes this work, so here's your part in full: about an hour, once — setting up read-only access to payment reports and sharing the payer contracts, with us beside you. No software to install, no new system for your staff, no interruption to billing or posting. And nothing here audits your team's work: underpayment sits on the payer's side of the ledger.

After that hour, work comes off your plate — not onto it. The appeals and payer follow-up you currently squeeze in between everything else — pulling documentation, drafting reconsideration letters, chasing payer responses for months — that work is inside our scope.

We build the case files, draft the appeals, and track every payer response to the end; your team sends them out under the practice's name and stays in control. The disputes you never had time to fight finally get fought — and not by you. If you're reading this before your physicians are, this page is written to be forwarded.

Who this is for — and not for

We do one job: find what payers underpaid, and get it back.