Revenue Leakage Detected

You’re Not Being Paid What You Should

Clear Health compares expected vs actual reimbursement in real time, surfacing underpayments the moment ERA arrives, not months later.
1-3%
of net revenue typically underpaid
for a $50M organization
$500k-$1.5M
in missed revenue annually

Underpayments Go Unnoticed For Months

Most providers don’t have a way to know what they should be paid, so they can’t know what they’re missing.

No expected reimbursement baseline
Without a model of what should be paid, you can’t know what’s missing.
Manual audits are months behind
By the time you find underpayments, timely filing limits may have passed.
Revenue leaks silently
Underpayments accumulate across thousands of claims without visibility.
Recovery is reactive, not systematic
Spreadsheets and spot-checks miss patterns and leave money on the table.

Every day you don’t see this gap, you’re underpaid.

The Solution

Real-Time Variance Detection

Clear Health surfaces underpayments immediately, not weeks or months later. Know what you’re owed the moment ERA arrives.

Expected vs Actual Comparison

Model what every claim should pay based on digitized contract terms. Compare to actual reimbursement instantly.

ERA-Level Analysis

Analyze every remittance at the line-item level. Surface discrepancies the moment they arrive.

ML-Powered Pattern Detection

Machine learning identifies variance patterns across thousands of claims, catching systemic underpayments.

Actionable Recovery Insights

Prioritized recovery opportunities with full audit trails. Know exactly which claims to pursue and why.

How It Works

From ERA To Recovery In Real Time

01
Model Expected Reimbursement

Clear uses your digitized contracts to calculate exactly what each claim should pay.

02
Match ERA at Arrival

When remittance data arrives, Clear instantly compares actual payment to expected.

03
Flag Discrepancies

Variances are surfaced immediately with root cause analysis and payer-level patterns.

04
Track Recovery

Prioritized recovery queue with automated workflows and full audit trails for appeals.

Results
Recover Revenue You Didn’t Know You Were Missing

Systematic detection. Faster identification. Real recovery.

1-3%
Net Revenue Recovered
Typical recovery rate from systematic underpayment detection
48hrs
Time to Detection
Underpayments identified at ERA arrival, not months later
4x
Faster Recovery
Systematic workflows vs manual audits and spreadsheets

“Within 90 days, Clear identified $847,000 in underpayments we didn’t know existed. We recovered $612,000 of that within the first quarter.”

VP of Revenue Cycle
Regional Health System, 12 Facilities
$847K
Underpayments identified
$612K
Recovered in 90 days
72%
Recovery rate