OPTICAL INTELLIGENCE + LESS NOISE. MORE CERTAINTY.
A NEW PERSPECTIVE ON PRACTICE REVENUE
A clearer view.A stronger case. Clearest Health helps independent practices pursue underpaid out-of-network claims through independent dispute resolution (IDR). We support 3 specialty areas: emergency medicine, anesthesiology, and surgical specialties.
Outcome intelligence. Expert-led IDR. One dedicated partner. BUILT AROUND YOUR PRACTICE Emergency medicine Anesthesiology Surgical specialties
01 — THE OPPORTUNITY
You did the work.See beyond the payment. An initial payment doesn’t always tell the whole story. Clearest reviews 3 parts of a potential dispute: claim eligibility, available supporting evidence, and whether pursuing the case makes sense. A low payment is a reason to assess a claim; it does not establish federal IDR eligibility. Explore the intelligence 02 — FROM COMPLEXITY TO CLARITY
A clear path.From claim to resolution. Clearest’s 3-stage workflow covers claim review, dispute preparation, and payment follow-up, with your practice and billing team involved throughout.
01 Find the opportunity. We review your out-of-network claims to identify potential underpayments and assess which cases are worth pursuing. 02 Build the stronger case. Relevant outcome data helps inform an offer. Our team assembles the supporting evidence and manages the dispute process. 03 See it through. Stay informed as your cases move forward, with visibility into decisions and payment follow-up. CLEAREST INTELLIGENCE WORKFLOW PREVIEW
PAYMENT REVIEW Illustrative workflow
Claim A Claim B Claim C
01 / DISCOVER A clearer view of your claims Review payment history Assess dispute eligibility Identify potential underpayments 03 — A DIFFERENT KIND OF PARTNER
01 Intelligence, applied. Clearest uses relevant dispute outcomes to inform the strategy behind an out-of-network claim. Payment review keeps 3 amounts distinct: the initial payment, the IDR determination, and the money actually received. A historical award does not tell you what another practice will receive. 02 Specialists, on your side. Clearest manages claim assessment, dispute preparation, and payment follow-up alongside your existing billing team. Agree on 3 working roles: Clearest manages the IDR work, your practice provides records and authorization, and your biller reconciles receipts. Confirm who supplies information, approves decisions, and confirms payment before the first case. 03 Clarity, throughout. Clearest’s process follows 3 stages: find the opportunity, build the stronger case, and see it through. Track case progress, review dispute decisions, and follow up on payment as your claims move forward. A favorable determination and cash received are separate events; payment follow-up helps explain where each case stands. Who is Clearest for? Clearest works with healthcare providers seeking to recover underpaid out-of-network revenue, including independent practices and specialty groups.
Do we have to replace our billing team? Clearest focuses on IDR and can work alongside your existing billing team. We’ll discuss your current workflow and the right handoff during your consultation.
Can every underpaid claim go through IDR? No. Eligibility depends on the claim and the applicable dispute process. Our review helps identify which claims may qualify and whether pursuing them makes sense.
How do we get started? Book a conversation with our team. We’ll learn about your practice, explain the information needed for a review, and discuss next steps.
YOUR NEXT CHAPTER STARTS WITH CLARITY
More clarity.More possibility. Let’s see what’s waiting in your claims.
Talk to our team