When you partner with us, we will help you reduce costs and quickly enhance performance.
BACKLOG REDUCTION
Streamline your operations and regain control over your workload.
MEDICAL RECORDS REVIEW
Ensure accuracy and compliance with meticulous reviews.
APPEALS
Navigate appeals processes of health insurance claims with confidence.
SYSTEM CONVERSIONS
Facilitate smooth transitions with minimal disruption to your operations.
PROVIDER CONTRACT/MAINTENANCE
Optimize your provider relationships and maximize value.
FILE MAINTENANCE
Keep your records organized and up-to-date for efficient processing.
NEW HIRE TRAINING
Set your team up for success with comprehensive training programs.
EXAMINER TRAINING
Enhance the skills and expertise of your claims examiners for improved outcomes.
AUDITS/QA
Identify areas for improvement and minimize risks through rigorous quality assurance.
REFUND PROCESSING
Ensure accuracy and compliance in refund processing workflows.
CREDENTIALING
Streamline processes to optimize provider networks and ensure quality care delivery.
ADJUSTMENTS
Correct claims efficiently to ensure accurate payments and compliance.
STAFF AUGMENTATION
Scale your team with expert support to meet operational demands.
ENROLLMENT
Simplify member onboarding with seamless and accurate processing.
DATA ENTRY
Expedite claim resolutions using insurance data analytics to reduce delays.
PEND RESOLUTION
Ensure accuracy and compliance in refund processing workflows.
END-TO-END PROCESSING
Optimize every stage of claims management and the adjudication process.
Claims Adjudication Decoded
Claims adjudication is more than a processing step—it’s where payers win or lose on accuracy, compliance, and cost.
A Payer’s Perspective on RCM
We provide an inside look at a winning payer’s perspective on revenue cycle management in their healthcare system.
Turnaround Time Tactics
Discover five actionable tactics to streamline turnaround time, boost efficiency, and keep your operations running smoothly.
Optimizing Every Aspect of Medical Claims Processing
As a claims administrator, we don’t get pain unless a claim is processed – unlike staffing companies who bill for all hours, productive or not.
1 hour of Clarity work = 1.5 hours of traditional staffing work.
For every $40 paid to Clarity for our production, a staffing company bills 35-50% more hours to accomplish the same amount of work.