Who we serve
Practices and surgery centers of any size where no one's job is checking what payers actually paid. Hospital systems have entire teams watching payer behavior. Independent practices don't. That leaves them at the exposed end of the range, and that's who we work for.
If your revenue depends on what payers allow per code, and nobody has time to check it against your contracts, this is for you.
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 already show a zero balance.
Your billing team was never staffed to fight this. Most independent practices don't employ someone to re-audit finished business. Think about it. 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's the job we built Clearia to do.
You'll be the one who makes this work, so here's your part in full. About an hour, once. You set up read-only access to payment reports and share the payer contracts, with one of us sitting 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, because 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) sit inside our scope. That's our work now.
We build the case files, draft the appeals, file them as your authorized representative under the practice's name, and track every payer response to the end. You see everything that goes out and can pull a pattern or a payer at any time. The disputes you never had time to fight finally get fought, and not by you. If you're reading this before your physicians are, go ahead and forward it. That's what this page is for.
One job. Find what payers underpaid, and get it back.
An hour of your administrator's time answers it, in dollars, from your own payment records.
The diagnostic is free. No engagement starts unless the findings justify one. And if you have questions along the way, you talk to the person doing the work.