Skip to main content
Eligibility & Benefits Verification

Stop denials before they happen. GUARANTEED!

CoOrdio Clear verifies insurance eligibility and extracts full benefit details across 2,500+ payers in real time — so your team can resolve coverage issues before patients arrive, not after claims are denied.

Trusted by leading healthcare organizations

Mountain Park Health Center
KMH Cardiology Centres
Borland Groover
Schweiger Dermatology Group
Burrell Behavioral Health
Preferred Family Healthcare
Compass Health Center
ARS Treatment Centers
Brightli
InfuSystem
Valley Oaks Health
Landmark Hospitals
Centerstone
Chapters Health System
Neighborhood Health
Family & Children's Services
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 open up our status reports and have all these eligibility denials — about three or four hundred a month — and now there's like 50 a month. It just dropped off. It now takes 10 seconds for it to reorder the guarantor with automation, and it takes a human about a minute to do."

ROI Calculator

How much are you losing to eligibility errors?

Your practice

Weekly patient visits250
Avg claim value$180
Eligibility error rate18%
Claims recovered after denial35%

Estimates based on CAQH Index 2024 and MGMA industry benchmarks. Results are illustrative and vary by practice.

Your numbers

Annual claims submitted

13,000

based on your weekly visits

Claims affected by eligibility errors

2,340

18% of annual claims

Annual revenue lost (unrecovered)

$273,780

after partial recovery attempts

Estimated recoverable with CoOrdio Clear

$219,024

~80% error reduction at source

Current loss
$274k
With CoOrdio
$55k

The Problem

Eligibility errors are your #1 source of preventable denials

Nearly one in four claim denials traces back to eligibility or coverage issues — problems that could have been caught before the patient ever received care. Manual verification is slow, inconsistent, and only catches issues after the fact.

Front desk staff spending 20+ minutes per patient on manual payer portal lookups

Coverage checked at scheduling but not re-verified before the appointment

Benefit details buried in PDFs, never making it into the EHR

Patient surprised by bills — leading to bad debt and costly follow-up

Without CoOrdio Clear

Verification methodManual payer portal
Time per patient15–25 minutes
Payers coveredHandful of major payers
Denial rate (front-end)~12%
Re-verificationAlmost never

With CoOrdio Clear

Verification methodAutomated, real-time API
Time per patient< 3 seconds
Payers covered2,500+ payers
Denial rate (front-end)< 5%
Re-verificationAutomated before each visit

Inside the Platform

See CoOrdio Clear in action

CoOrdio Clear — Eligibility Dashboard

Real-time eligibility dashboard showing verification activity, outcomes, and 7-day trends across your patient population.

CoOrdio Clear — Eligibility Intelligence Center

AI-powered denial analytics with root-cause breakdown, 12-week trend tracking, and CARC code deep-dive reporting.

CoOrdio Clear — Coordination of Benefits

Automated COB detection and insurance ordering — primary, secondary, tertiary, and beyond — verified in seconds.

CoOrdio Clear — Good Faith Estimates

Generate compliant Good Faith Estimates for self-pay patients with CPT-level cost breakdowns in one click.

CoOrdio Clear — Automation Rules

Configure automated eligibility verification rules by frequency, patient scope, and service type — no manual intervention needed.

Capabilities

Everything you need to verify right

CoOrdio Clear goes beyond simple yes/no eligibility — it gives your team the full picture on every patient, every visit.

Real-Time Eligibility Verification

Instantly verify patient insurance coverage across 2,500+ payers in under 3 seconds — before they walk through the door. Eliminate the manual, error-prone approach that leads to claim denials.

< 3 sec

Average response time

Automated Benefit Extraction

CoOrdio Clear doesn't just confirm coverage — it extracts co-pays, deductibles, out-of-pocket maximums, and in/out-of-network breakdowns automatically and maps them to your EHR.

98%

Extraction accuracy

Patient Cost Estimation

Generate accurate patient responsibility estimates at scheduling and registration. Reduce payment surprises, improve collections at point-of-service, and build patient trust through transparency.

3.2×

POS collection improvement

Automated Re-verification

Insurance changes constantly. Clear monitors active patients and automatically re-verifies coverage before each appointment — catching lapses before they become denials.

60%

Reduction in front-end denials

Verification Analytics Dashboard

Track verification volumes, payer response times, coverage gap trends, and denial root causes. Actionable insights help you optimize workflows and identify high-risk payer relationships.

100%

Audit trail coverage

EHR & PM Integration

Native integrations with Epic, Athenahealth, Meditech, eClinicalWorks, and 40+ other systems. No manual exports, no double-entry — verification results flow directly into patient records.

40+

EHR integrations

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.

Get Started

See CoOrdio Clear for your practice

Tell us a bit about your organization and we'll put together a personalized walkthrough — including how Clear can cut your front-end denials and recover lost revenue.

Get a personalized demo

We'll reach out within one business day.

Clear FAQ

CoOrdio Clear: common questions

What is CoOrdio Clear?
CoOrdio Clear is an AI-powered insurance eligibility and benefits verification tool that confirms patient coverage across 2,500+ payers in real time — typically in under 3 seconds — so provider organizations can resolve coverage issues before the visit instead of after a claim is denied.
How fast is eligibility verification with CoOrdio Clear?
Clear returns a real-time eligibility response in under 3 seconds per patient, compared with the 15–25 minutes a staff member typically spends verifying coverage manually.
How many payers does CoOrdio Clear support?
CoOrdio Clear verifies eligibility and extracts benefit details across more than 2,500 insurance payers.
Can CoOrdio Clear reduce claim denials?
Yes. Because roughly one in four claim denials traces back to eligibility or coverage issues, Clear’s real-time verification and automated re-verification can reduce front-end denials by up to 60%.
What benefit details does CoOrdio Clear extract?
Clear automatically extracts co-pays, deductibles, out-of-pocket maximums, and in- and out-of-network breakdowns with 98% extraction accuracy, then maps them to your EHR.
Which EHR and practice management systems does CoOrdio Clear integrate with?
Clear offers native integrations with Epic, Athenahealth, Meditech, eClinicalWorks, and 40+ other EHR and practice management systems.

© 2026 CoOrdio, Inc. All rights reserved.