The foundation of revenue intelligence

Know Exactly What Each Claim Should Pay

Clear Health digitizes your payer contracts and models expected reimbursement with precision. No more guessing. No more spreadsheets. Just clarity.

100%
Contract visibility
From PDF chaos to
structured intelligence

No One Actually Knows Expected Reimbursement

Ask any revenue cycle leader what a specific procedure should pay from a specific payer. The answer is almost always: “It depends” or “Let me check.”

Contracts buried in PDFs
Fee schedules and terms locked in static documents no one can query
Manual interpretation
Staff reading contracts line-by-line to determine expected payment
No system of record
Contract terms scattered across folders, emails, and tribal knowledge
Finance teams guessing
Revenue forecasts built on assumptions, not actual contract data

If you don’t know what you should be paid, you can’t know when you’re underpaid.

The Solution

Contract Logic Turned Into Real Data

Clear Health transforms static contract documents into a living, queryable system of record that powers every revenue decision.

Digitized Fee Schedules

Every contract term, every fee schedule, every carve-out, structured and queryable in one system.

  • Automated contract ingestion
  • Structured data extraction
  • Version control and audit trails
Reimbursement Modeling

Model expected payment for any procedure, any payer, any patient, before you submit the claim.

  • Claim-level expected payment
  • Modifier and bundling logic
  • Real-time calculation engine
Payer Benchmarking

Compare payer performance across your contracts. See who pays well and who doesn’t.

  • Payer-by-payer analysis
  • Procedure-level comparisons
  • Negotiation intelligence
Why It Matters

Contract Intelligence is the Foundation

Every other revenue decision depends on knowing what you should be paid. Without it, everything downstream is compromised.

Accurate Estimates

Patient estimates grounded in real contract terms, not guesses or outdated fee schedules.

Feeds Estimate Intelligence
Real-Time Variance Detection

Compare expected vs actual the moment ERA arrives. Know instantly when you’re underpaid.

Powers Underpayment Detection
Better Negotiations

Walk into payer negotiations with data: which contracts perform, which don’t, and why.

Drives strategic decisions

This is why Clear starts with contracts. Everything else builds on this foundation.

Results
What Happens When You Finally See Your Contracts
100%
Contract Visibility
Complete view of every payer contract, fee schedule, and term in one queryable system
3x
Forecasting Accuracy
Finance teams project revenue with contract-level precision, not assumptions
8-12%
Revenue Leakage Identified
Typical underpayment rate discovered when expected reimbursement is finally visible