AI coding · denial prediction · e-prescribing

Stop Losing Revenue to Denied Claims.

ClearlyClaims uses AI to code encounters, predict denials before submission, and auto-generate appeals — so your practice gets paid faster and keeps more revenue.

HIPAA compliant · BAA included
e-Prescribing built in
14-day free trial
Guided setup

Built for

Independent practicesFamily medicinePediatricsDermatologyCardiologyBehavioral healthMedical billing companies
The Problem

The Billing Crisis Is Real

Healthcare practices across America are hemorrhaging revenue — not because of poor care, but broken billing.

$262 Billion

lost annually to claim denials in the US

Source: CAQH

30% Shortage

of certified medical coders according to the AMA

Source: AMA, 2024

$50,000+/year

average practice loses to undercoding and missed charges

Source: MGMA

The Solution

How ClearlyClaims Works

Three steps from clinical note to paid claim.

01

Paste or upload your clinical note

Drop in any clinical documentation — SOAP notes, discharge summaries, procedure reports. ClearlyClaims reads it instantly.

02

AI codes it in seconds — with full explainability

Our medical AI engine extracts ICD-10, CPT, E/M, and HCC codes with confidence scores and line-by-line reasoning for every suggestion.

03

Submit with confidence — denial risk scored before it goes out

Every claim gets a denial risk score. Issues are flagged with specific fixes before you submit — not after the payer rejects it.

Features

Everything Your Practice Needs

One platform to replace the patchwork of billing tools slowing your practice down.

AI Coding Engine

ICD-10, CPT, E/M leveling — coded in seconds with line-by-line explanations so your team understands every suggestion.

Denial Prediction

Know your denial risk before you submit. Fix issues now, not after rejection. Save hours of re-work and appeals.

Appeal Automation

Denied claim? AI drafts a professional, payer-specific appeal letter in one click — ready to send in minutes.

Prior Auth Tracker

Never miss an authorization or let one expire again. Track all auths with status, deadlines, and reminders.

Provider Feedback

Real-time documentation tips that improve coding accuracy and reimbursement — delivered directly to providers.

e-Prescribing

Prescribe from the patient's chart, including controlled substances (EPCS), with drug and allergy alerts. The patient picks the pharmacy.

Patient Portal & Reminders

Secure messages, appointment requests, online intake forms, and consent-based text reminders that cut no-shows.

Clara AI Assistant

24/7 AI billing expert answers any coding or platform question instantly. Like having a coder on call, always.

e-Prescribing

Electronic prescribing, built into the chart

Clearly Claims includes electronic prescribing powered by DoseSpot, an established e-prescribing platform. Prescribers write prescriptions from the patient's chart without switching systems.

1. A licensed prescriber starts the prescription

Only providers the practice has credentialed as prescribers — with a verified NPI and, for controlled substances, DEA registration — can open e-prescribing from a patient's chart. Staff without prescribing rights cannot sign or send.

2. The prescriber chooses the medication

The prescriber searches and selects the drug, strength, directions and quantity themselves, and reviews drug-allergy and drug-interaction alerts before signing. Clearly Claims never pre-selects, recommends or promotes a specific medication or manufacturer.

3. The patient chooses the pharmacy

The prescription goes to the retail, mail-order or specialty pharmacy the patient picks. The patient's preferred pharmacy is recorded with their permission and can be changed at any time; we never steer patients to a particular pharmacy.

4. Sent securely, with status tracked

The signed prescription is transmitted electronically to the pharmacy over a nationally certified e-prescribing network. Status updates (sent, received, errors, refill and change requests) flow back into the patient's record.

Pharmacy & pharmaceutical connections

  • We connect to pharmacies only through our e-prescribing partner, DoseSpot, which routes prescriptions to US retail, mail-order and specialty pharmacies.
  • Clearly Claims does not own or operate a pharmacy and has no ownership or referral relationships with pharmacies.
  • We do not accept payment from pharmaceutical manufacturers, and we show no drug advertising or sponsored medication suggestions to prescribers or patients.

Controlled substances (EPCS)

  • Electronic prescribing of controlled substances follows DEA requirements (21 CFR Part 1311).
  • Each prescriber completes identity proofing and sets up two-factor authentication before they can sign controlled-substance prescriptions.
  • Access to prescribe controlled substances is approved by two people at the practice, and every signing is logged for the practice's audit reports.
  • Where required by state law, prescribers can check the state prescription drug monitoring program (PDMP) before prescribing.
ROI Calculator

See What You're Leaving on the Table

Adjust the sliders to see how much revenue ClearlyClaims can recover for your practice.

500
1005,000
12%
5%25%
How we calculate: Based on avg. claim value of $285, ClearlyClaims typically reduces denial rates by ~8% through pre-submission risk scoring.
Estimated Annual Revenue Recovered

$136,800

Claims Saved / Month

40

ROI on ClearlyClaims

14x

Currently denied per month

60 claims

About us

Software for the business side of care

Clearly Claims LLC is a US healthcare software company based in Dover, Delaware.

What Clearly Claims is

Clearly Claims is practice-management and medical billing software for outpatient medical practices. Practices use it to schedule and remind patients, document visits, code encounters, prescribe electronically, submit and track insurance claims, work denials and appeals, and bill patients — in one HIPAA-compliant platform.

Who our customers are

Our customers are healthcare businesses: independent physician practices and clinics (licensed prescribers, their clinical staff and front desk) and medical billing companies that manage billing for those practices. Patients of our customers can use the secure patient portal their practice provides. We do not provide medical care and we do not sell to consumers.

Business model, insurance & payment

Practices pay Clearly Claims a monthly software subscription. Clearly Claims does not see patients and does not bill insurance or patients on its own behalf. Our software supports both models our customers use: visits billed to insurance (claims, eligibility checks, remittances and appeals) and cash-pay/self-pay visits (patient statements and online card payments).

Pricing

Simple, Transparent Pricing

14-day free trial on all plans. Cancel anytime before it ends.

Starter

Perfect for solo practices & small groups

$299/mo
  • Up to 200 encounters/mo
  • AI coding engine
  • Denial prediction
  • Clara AI assistant
  • Email support
Most Popular

Growth

For growing practices that want everything

$799/mo
  • Unlimited encounters
  • Everything in Starter
  • Appeal automation
  • Prior auth tracker
  • Provider feedback
  • Priority support
For Billing Companies

Agency

For medical billing companies managing multiple practices

$1,999/mo
  • Up to 15 practices
  • Everything in Growth
  • Bulk CSV upload
  • Multi-practice dashboard
  • Dedicated billing manager
  • White-label option
  • Priority support
  • Monthly performance reports

Enterprise

For large groups, MSOs, and health systems

Custom
  • Custom volume
  • EHR integration
  • Dedicated onboarding
  • SLA guarantee
  • Custom reporting
  • Account manager
Contact Sales

All plans include a 14-day free trial. Cancel anytime.

14-day free trial on every plan

Ready to get paid what you've earned?

Start a free trial and see how Clearly Claims helps your practice code accurately, reduce denials, and capture the revenue you have earned.

Guided setup HIPAA-compliantCancel anytime