Frequently Asked Questions
Everything you need to know about Clearest and IDR revenue recovery.
Clearest Health is a revenue recovery platform for independent medical practices. We specialize in helping providers win Independent Dispute Resolution (IDR) cases under the No Surprises Act, using verified benchmark data and expert case preparation.
Clearest is built for independent medical practices, physician groups, and healthcare organizations that provide out-of-network services. Our platform is particularly valuable for specialties like orthopedics, anesthesiology, emergency medicine, and surgery.
Unlike traditional RCM companies, we specialize exclusively in IDR disputes. We have access to the industry's largest database of verified out-of-network payment data, allowing us to build stronger cases and achieve higher win rates. Clearest reports a 94% company win rate. This company metric is distinct from industry statistics; individual results vary.
Independent Dispute Resolution (IDR) is the arbitration process established by the No Surprises Act to resolve payment disputes between providers and payers for out-of-network services. An independent arbitrator reviews both parties' offers and selects one. There's no splitting the difference.
IDR is available for out-of-network emergency services, air ambulance services, and non-emergency services provided at in-network facilities by out-of-network providers. The dispute must be about the payment amount, not coverage.
The full IDR process typically takes 60-90 days from initiation to decision. This includes open negotiation (30 days), IDR initiation (4 days), offer submission (10 days), and the arbitrator's decision (30 days).
If the arbitrator selects the payer's offer, you receive that payment amount. With our success-based pricing, you don't pay us anything on cases we don't win. We carefully select cases with high win probability to maximize your recovery.
We operate on a success-based model. You only pay when we successfully recover money for you. Our fee is a percentage of the recovered amount (typically 20-25% depending on volume), with no upfront costs or monthly fees.
No. We don't charge any upfront fees, setup costs, or monthly minimums. You only pay when we win. This aligns our incentives with yours. We only succeed when you do.
Our service includes claim analysis, benchmark data, dispute packet preparation, filing management, deadline tracking, and case monitoring. Everything you need to win IDR disputes, handled by our team of experts.
Start with our free 48-hour analysis. Share your billing data securely, and we'll identify all IDR-eligible claims and calculate your expected recovery. No commitment required. You'll see exactly what we can do before deciding to proceed.
We need your out-of-network claim data, including payment amounts, procedure codes, and payer information. We integrate with most major EHR and practice management systems for automated data sync.
Absolutely. We use cloud-native security with enterprise-grade infrastructure and access controls. All data is encrypted in transit and at rest with bank-level security protocols, and we never share your data with third parties.
Yes, we integrate with all major EHR and practice management systems including Epic, Cerner, Athena, AdvancedMD, and more. Our integration syncs claims automatically so you don't need to manually upload data.
Most practices are fully onboarded within 1-2 weeks. For practices using our integration partners, setup can be as quick as 24 hours. Our team handles the technical setup so you can focus on patient care.