Verify Eligibility & Benefits
Confirm active coverage and retrieve the benefit details your team needs before the visit, including co-pays, deductibles, network status, and coverage limits.
CoOrdio Clear
Eligibility & Benefits Verification
Resolve coverage issues before the visit.
CoOrdio Clear automates eligibility and benefits verification, structures payer responses, and routes exceptions so your team can act before care is delivered.
Trusted by leading healthcare organizations
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GE
Gabriel Enz
VP, Client Financial Services, Centerstone
"We've taken an 8 person process and got it down to about two hours. We used to have all these eligibility denials, and now it just dropped off."
Capabilities
The coverage picture your team needs
Move from a simple eligibility response to structured information and exception workflows your team can act on.
Estimate Patient Responsibility
Turn payer responses into structured information that supports clearer patient estimates and more informed conversations at scheduling and registration.
Re-verify & Route Exceptions
Run verification at the right point in the appointment lifecycle, return results to existing workflows, and direct coverage exceptions to staff for review.
Inside the Platform
See CoOrdio Clear in action
Review verification activity, outcomes, and coverage exceptions across your patient population.
How CoOrdio Clear works
Seamless verification from appointment scheduling to patient arrival.
1
Schedule or Import
CoOrdio Clear automatically pulls upcoming appointments from your PM system — or you can submit individual or batch verification requests via API.
2
Verify in Real Time
Clear queries the payer directly (270/271 EDI transactions or payer portals) and returns a structured coverage response in seconds.
3
Extract & Enrich
Our AI extracts co-pays, deductibles, authorization requirements, and benefit limits — then maps them to standardized fields in your EHR.
4
Alert & Act
Front desk staff receive instant alerts for coverage issues, required authorizations, or high patient balances — with recommended next actions.
Explore Your Exposure
Estimate the revenue affected by eligibility errors
Adjust the assumptions to explore the scale of eligibility-related revenue exposure in your organization.
Your practice
Weekly patient visits250
Avg claim value$180
Eligibility error rate18%
Claims recovered after denial35%
Use your organization's own assumptions where available. This estimate is illustrative and is not a guarantee of results.
Your numbers
Annual claims submitted
13,000
based on your weekly visits
Claims affected by eligibility errors
2,340
18% of annual claims
Estimated annual revenue exposure
$273,780
based on the assumptions selected
Use this as a conversation starter
A personalized review can map this exposure to your actual payer mix, eligibility workflow, and available claim data.
See CoOrdio Clear in Action
Build a clearer eligibility workflow
Get a personalized walkthrough based on your payer mix, systems, and current verification process.
Clear FAQ
CoOrdio Clear: common questions
- What is CoOrdio Clear?
- CoOrdio Clear automates insurance eligibility and benefits verification so provider organizations can identify coverage issues before the visit and route exceptions to the right team.
- When can CoOrdio Clear run verification?
- Clear can support verification at key points in the appointment lifecycle, including scheduling and pre-visit re-verification, based on the workflow configured for your organization.
- Can CoOrdio Clear help prevent claim denials?
- Clear helps teams identify eligibility and coverage issues earlier, before those issues reach claim submission. Results depend on each organization’s payer mix, workflows, and follow-up processes.
- What benefit details does CoOrdio Clear extract?
- Clear can structure details such as co-pays, deductibles, out-of-pocket maximums, coverage limits, and network status, then route that information into the appropriate workflow.
- How does CoOrdio Clear integrate with existing systems?
- Clear can connect with EHR and practice management workflows through supported APIs and automation approaches. The implementation is tailored to the systems and processes used by each organization.