Estimates, collections, underpayment detection. They all depend on one thing: knowing what each claim should pay. Without that, you’re guessing.
Payer contracts live in PDFs and shared drives. They’re not connected to your billing workflow.
You know the contract exists. You don’t know what a specific claim should pay based on that contract.
Without expected reimbursement, estimates are guesses, variances go undetected, and negotiations have no data.
Fee schedules, carve-outs, modifiers, effective dates. Structured and queryable, not buried in documents.
Before a claim is submitted, Clear calculates exactly what it should pay based on the contract terms. Not a benchmark. Your contract.
Expected reimbursement flows into estimates, variance detection, payer benchmarking, and negotiation intelligence. One source of truth.
Patient responsibility based on real contract terms, not fee schedules
Underpayments detected at ERA arrival, not quarterly audits
Data-driven conversations about payer performance
