Eligibility verification for medical practices before the claim.
ClearClaim Verify gives independent providers, small groups, and growing medical practices a repeatable way to check eligibility, import schedules, prepare staff handoffs, and keep billing follow-up organized.
What this workflow supports
Front-desk workflow
Help intake and scheduling teams use a consistent path for patient eligibility checks while keeping the rest of the practice’s billing process in place.
Schedule import
Upload a CSV schedule, review mapped rows, fix missing details, and run selected ready checks for general or dental workflows.
Review boundaries
Show caution wording and confirmation guidance when payer-returned data should not be overquoted.
Billing packet context
Give billing users deeper benefit rows, cost-share signals, warnings, and printable output for follow-up.
Practice visibility
Owners and managers can review usage, saved history, graduated pricing, and whether the workflow is repeatable.
Start with the workflow; pay only for completed results.
Eligible new organizations can use the one-time 50-completed-check promotion after production approval and payment-method setup, then move to pay-as-you-go pricing with graduated volume rates.
Solo office
A focused path for a single provider or owner-led workflow with saved provider setup and reusable handoff output.
Small practice
Shared History, assignments, review workflow, and team comments help daily intake teams stay coordinated.
Multi-location group
Location-aware context and role-restricted setup support practices with more than one operating workflow.
Higher-volume team
Schedule import, usage visibility, standardized output, and automatic graduated rates support larger workflows without forcing a subscription change.
A result the front desk can act on and billing can audit.
The concise handoff stays tied to the payer-returned source instead of turning missing detail into a stronger coverage claim.
Requested service
Office visit
Coverage reading
Active for the requested date
Primary cost share
$25 in-network copay
Confirmation note
Specialist cost share not returned
Billing evidence
18 payer-returned rows preserved
What ClearClaim Verify helps your practice do
Keep eligibility work focused before the claim.
ClearClaim Verify helps staff check eligibility, read payer-returned details, prepare handoffs, print, and keep the result available.
Use simple pay-as-you-go pricing.
There is no fixed monthly platform or setup fee. Eligible new organizations receive one 50-completed-check promotion, subject to production approval, payment-method setup, and current pricing terms. Paid completed results then begin at the published starting rate and move through graduated volume tiers.
Outputs that make follow-up easier.
Sample result, report PDF, billing packet, CSV export, and History make it easier to review what happened after a single check or imported schedule.
Start with schedule import when it fits the day.
Upload a schedule file, review and edit rows, then run the checks your team is ready to complete.
Continue the product review
Dental workflow
Review general dental eligibility, selected CDT detail, schedule import, and dental-specific handoffs.
Chiropractic workflow
Review chiropractic coverage, visit limits, cost share, authorization, and staff handoffs.
Therapy & Rehabilitation
See the shared Therapy & Rehabilitation workflow, then explore PT, OT, or Speech examples.
Billing companies
Review standardized eligibility checks and client-practice handoffs for outsourced billing teams.
Usage pricing
Review promotion eligibility, current rates, and graduated paid tiers.
Security and trust
Review healthcare-safe access, PHI posture, and result boundaries.
Medical practice eligibility verification questions
What kind of medical practice is ClearClaim Verify for?
ClearClaim Verify can fit independent single-provider offices, small practices, multi-location groups, and higher-volume teams that need a repeatable eligibility workflow before the claim.
How is a practice charged?
Eligible new organizations can receive one 50-completed-check promotion after production approval and payment-method setup. Current pricing terms govern availability. After the promotion, usable completed results are billed at graduated volume rates; unsuccessful attempts are not billed.
Does a practice need a technical integration before starting?
No. Practices can start directly in the app or with CSV schedule import. If your needs grow, talk with our team about available workflow options.
Review the one-time 50-check promotion.
Confirm current promotion eligibility and pricing, review sample output, then start in Verify or schedule a walkthrough.
All ClearClaim operations are U.S.-based