Authorization failures, denials, and unanswered appeals disappear into a process your billing staff is managing by hand — one letter at a time, alongside everything else they do. You lose the procedure. You lose the revenue. You don't always find out why until it's too late to act.
ClearIQ automates the full pipeline — pre-certification filing, denial detection, appeal generation, and reimbursement recovery — so high-value procedures stop falling off your schedule.
Built for OBL owners, cardiologists, and the billing teams
managing their authorization pipeline.
For OBL owners and high-value procedure practices, the authorization pipeline is where revenue is won or lost — not in the appeal letter. Your billing team is fighting this by hand, insurer by insurer, procedure by procedure, with no system built for the work.
Every insurer runs a different credentialing process, requires different documentation, and applies different criteria for the same procedure. There is no standard — just a gauntlet your billing staff navigates from scratch, every time.
You build the schedule. Then half the patients fall into authorization pending, get denied, or end up under appeal. You lose the procedure, the revenue, and the slot — before the week even starts.
Your office manager writes every appeal letter from scratch. She's managing a hundred other things and she's not an appeal specialist — she's doing this alongside everything else. The letters go out. You don't always know what happens next.
You can't see which procedures are approved, which are pending, and which are already lost — until patients are or aren't on the schedule. By then, it's too late to act.
Atherectomy, genicular embolization, venous stents — these procedures reimburse in the thousands per case. One denied procedure, left unappealed or appealed too late, is real revenue that doesn't come back.
Which procedures appeal successfully with which insurers? Which denial reasons are worth fighting? No one knows — because nothing in your current workflow is tracking it.
This is a real week at an OBL. One billing manager. Six insurers. Pre-certifications, denial letters, and appeal deadlines all arriving at once — alongside everything else she manages. Here is what that week looks like, and what it looks like with ClearIQ.
Build Friday's schedule. Twelve procedures confirmed across six insurers.
Check three insurer portals manually. Five pending authorizations — no status, no explanation, no timeline.
Two denial letters arrive in the inbox. Start writing appeal letter one from scratch. Three hours of work, one letter sent.
Second appeal still in draft. Three patients notified their Friday appointment is uncertain.
Four procedures completed. Eight slots lost to authorization failures, missed appeal windows, and cases that ran out of time.
Build Friday's schedule. Twelve procedures confirmed.
ClearIQ flags five pending authorizations with specific documentation gaps. Pre-cert requirements filed for each.
Two denials auto-detected and classified by denial reason. Appeal letters generated, reviewed, and submitted in under 30 minutes.
Both appeals submitted. One insurer reversal confirmed same day. Missing physician note flagged three days early — requested and received.
Nine procedures completed. One case in active appeal, tracked and pending. Nothing lost to the process.
Across a high-value procedure practice, recovering half the cases that fall off the schedule each week changes the economics of the entire operation. ClearIQ is not a faster way to write letters — it is the pipeline that stops them from being necessary in the first place.
Join the WaitlistClearIQ manages the full authorization-to-reimbursement lifecycle — from the moment a procedure is scheduled through pre-certification, denial, appeal, and final payment recovery. Nothing falls through between steps.
Know what each insurer requires for each procedure before you file. Requirement templates by payer and procedure type reduce first-denial rates and protect your schedule.
Real-time visibility into every pending authorization: approved, at-risk, or denied. See what's happening to your schedule before it's too late to act.
When authorization fails, the denial is automatically captured, classified by reason, and queued for appeal — no manual monitoring, no missed windows.
The denial reason and insurer-specific coverage language are parsed to identify exactly what documentation is needed to reverse the decision.
Medical records, procedure notes, and supporting clinical evidence are organized around the specific denial basis — not generic documentation, denial-specific.
Missing, incomplete, or clinically misaligned documentation is flagged before the appeal is drafted — so nothing critical is left out of the submission.
A procedure-specific appeal letter is generated from the denial reason, clinical evidence, and insurer's coverage standards — ready for review in minutes, not drafted from scratch.
Complete, formatted submission package: cover letter, clinical argument, supporting documentation index — ready to submit to the insurer.
When the insurer approves, reimbursement tracking activates — logging the approved amount, reconciling remittances, and closing the case in your practice ledger.
Human judgment stays in control at every step. ClearIQ prepares and automates — your team reviews and approves.
When the insurer approves, the revenue work shouldn't start over. ClearIQ's Recovery & Reimbursement Engine tracks approved amounts, reconciles insurer remittances, and gives OBL owners and practice managers a real-time view of every dollar — from pending authorization to final payment.
For practices managing high-value procedures across multiple insurers, this closes the loop that has historically required manual spreadsheet reconciliation, delayed follow-up, and revenue left uncollected. ClearIQ handles it as part of the same pipeline.
Track what you're actually receiving per procedure type, per insurer — across your full case history. Know your real reimbursement profile: not what the contract says, what you're getting.
Which procedures yield the best return when appealed with which insurers? ClearIQ tracks approval rates, appeal success, and recovered revenue by procedure type and payer — so appeal effort goes where it matters.
See exactly how many dollars are sitting in pending authorization at any given time. Know what's at risk before it disappears from your schedule — not after the fact.
EFT and ACH payments from insurers are matched against approved claims automatically. Underpayments, short pays, and missing remittances are flagged before they become collection problems.
Every case has a complete, auditable recovery record — approved amount, payment received, variance flagged, outstanding balance, and resolution status. One record, fully traceable.
Full picture across all procedures and insurers: approved revenue, pending reimbursement, open appeals, and remittance history — for OBL owners and practice managers who need to know where every dollar stands.
From pre-certification filing and denial detection through appeal, insurer approval, and full reimbursement recovery — ClearIQ manages the complete procedure lifecycle in one structured pipeline.
Generic tools generate text. ClearIQ manages the authorization pipeline. A denied procedure is not primarily an appeal problem — it is a pre-certification, documentation, and insurer-intelligence problem. The right information, filed with the right payer-specific language, is what prevents the denial. When prevention fails, ClearIQ automates the recovery. That is the full scope of the problem this platform is built to solve.
Join the WaitlistKnow what each insurer requires for each procedure before you file. Fewer first denials mean more procedures that actually happen — and a schedule that holds.
Know which procedures are at risk before they fall off your schedule. Act before the revenue is already gone — not after the slot is empty.
When authorization fails, the appeal process starts immediately — no delay, no manual trigger, no procedure lost to an administrative lag or a missed window.
Know what you're actually getting per procedure per insurer — and where your appeal effort has the highest return. Not instinct. Data.
Every generated letter and argument is reviewed before submission. ClearIQ handles the preparation. Your team handles the judgment. Nothing goes out without human sign-off.
Six purpose-built modules that take a procedure from pre-certification through denial, appeal, and reimbursement recovery — with human review at every step.
Know exactly what each insurer requires for each procedure before you file. Payer-specific requirement templates reduce first-denial rates and protect your schedule from avoidable authorization failures.
Every denial is assessed for appeal viability across denial type, clinical documentation strength, and insurer coverage argument — giving your team a clear read before committing time and resources.
Denial letters are parsed to extract the exact coverage basis, policy language cited, and clinical criteria applied — translating insurance-speak into structured, actionable information your team can act on.
Missing, incomplete, or clinically misaligned documentation is flagged before the appeal is drafted — with structured prompts identifying exactly what's needed and why it matters for the specific denial.
Procedure-by-procedure, insurer-by-insurer tracking of what you're receiving vs. what you should be — and which appeal efforts are yielding the highest return. Know where to focus and where to let go.
A complete, formatted appeal package — cover letter, clinical argument, supporting documentation index — generated for review and submission. Submission-ready, not a rough draft.
ClearIQ is purpose-built for OBL owners, cardiologists, and the billing teams managing their authorization pipeline — starting in cardiology and expanding to any high-value procedure practice.
You look at the schedule and see twelve. By procedure day, half are pending auth, denied, or under appeal. You need visibility into your authorization pipeline and confidence that high-value procedures are protected — not discovered missing after the fact.
You're managing pre-certifications, tracking denial letters, and writing appeal responses by hand — alongside everything else. ClearIQ turns hours of manual letter-writing into a guided workflow so nothing gets missed and nothing waits on you alone.
Atherectomy, stents, balloon angioplasty, genicular embolization, venous stents, IVUS — high-value procedures where every denied case represents real revenue. ClearIQ tracks reimbursement by procedure and insurer so you know where you stand.
Any procedure center managing prior authorizations across a high-volume caseload faces the same math: the authorization problem scales with procedure volume. ClearIQ scales with it — tracking every pending auth, every denial, every appeal across the full schedule.
GI, pain management, neurosurgery, orthopedics — any specialty performing high-value outpatient procedures where authorization denials represent recoverable revenue. ClearIQ's coverage expands to match your procedure mix.
ClearIQ is in active development. Join the waitlist to be among the first OBL owners and cardiology practices to use it — and help shape what it does.
Thank you for your interest in ClearIQ. We'll be in touch as the product develops — and you'll hear from us first when early access opens.