Closed-loop prior authorization

Prior auth shouldn't take 10 days.

Cleared extracts clinical data from your EHR, matches it against payer-specific coverage logic, and executes the submission through whatever channel the payer requires — then tracks it to resolution and auto-generates appeals on denial.

4 hrs target approval window
4+ submission channels
100% closed-loop tracking
Authorization Flow
EHR Extract HL7 / FHIR R4
Policy Match RAG — payer criteria
Submit FHIR / Portal / Voice / Fax
Track + Appeal auto on denial

From clinical note to payer resolution — automatically.

01

Extract

FHIR R4 and HL7v2 integration pulls structured clinical data from Epic, Oracle Health, and athenahealth. Medical NER parses unstructured notes — H&P, progress notes, operative reports — understanding clinical context, not just keywords.

02

Reason

A daily-crawled vector database holds live payer policy logic. RAG retrieves the exact policy language relevant to the case. A consistency check validates the clinical evidence against payer criteria before submission.

03

Execute

FHIR submission where payers support it. Browser agents for proprietary portals. Voice AI for payer hotlines. Digital fax for legacy payers. One submission, multiple fallback channels — the payer gets it their way.

04

Close

Tracks every submission to resolution. On denial, the system retrieves the exact clinical gap, generates a structured appeal, and resubmits — without human intervention. Every denial improves the policy model.

A payer policy brain that gets sharper every denial.

The data flywheel is the architectural moat. Every denial contains a payer rule that didn't match the first submission. Cleared extracts that rule, encodes it, and propagates it to all customers on the next submission. Competitors maintain rule databases manually. Cleared learns from every interaction — automatically.

FHIR R4 native

Built for CMS-0057-F compliance. FHIR APIs for payer submission, EHR integration, and interoperability out of the box.

RAG policy engine

Live payer policy retrieval against daily-updated payer coverage logic. Not static rules — dynamic retrieval grounded in current policy language.

Data flywheel

Denial patterns become payer rules across the entire customer base. More customers = better coverage logic = higher approval rates for everyone.

Every payer has a different inbox. We speak all of them.

FHIR API

Direct payer API submission where payers support it. CMS-0057-F mandates are forcing this open by January 2027 — we're ready on day one.

Portal Agent

Browser agent navigates payer proprietary portals end-to-end. Structured data entry, attachment upload, status polling — without a human touching a screen.

Voice AI

Autonomous voice agent handles payer hotlines. Navigates phone trees, provides required information, escalates to reps, and captures disposition — at 2am if needed.

Digital Fax

HIPAA-compliant digital fax for legacy payers still requiring fax submission. Automated cover sheet generation, confirmation tracking, retry logic.

We clear authorizations.
Not yours.