Your AI Agent for seamless insurance claims.
Cleanpass deploys integrated AI systems that work inside your existing stack — eliminating denials, recovering lost revenue, and giving billing teams their week back. Not a chatbot. Not another tool. Operational infrastructure.
- 37%
- fewer denials
- 11 days
- faster A/R
- $4.2M+
- recovered
Operating across healthcare verticals
The cost of inaction
Every week without integrated AI is revenue you won't get back.
Healthcare claim processing was built for a different decade. Patchwork software, manual rework loops, and shrinking staff capacity have turned the revenue cycle into an unpredictable tax on every encounter you deliver.
Denials are silently bleeding margin.
Industry-average first-pass denial rates sit between 10–15%. Every reworked claim costs $25–$118 and a percentage never gets resubmitted. That is pure margin walking out the door.
Your billing team is a bottleneck, not a moat.
Skilled coders and AR specialists spend 60%+ of their time on repetitive eligibility checks, payer rules, and follow-up calls — work that should be deterministic, not human.
Point tools and chatbots make it worse.
Bolted-on RPA scripts and 'AI assistants' fragment your workflow, fail at edge cases, and never reconcile back to your EHR. You inherit the risk; the vendor disappears.
Quantified outcomes
The numbers our clients hold us to.
Every deployment ships with a contractually defined ROI floor. If we miss it, you don't pay.
Reduction in first-pass denials
Across 8 multi-site provider deployments
Faster average days-in-A/R
From baseline 42 → 31 days within 90 days
Eligibility checks fully automated
Real-time payer verification at intake
Net revenue recovered
Recovered from previously written-off claims
"Reduced denial-related write-offs by 41% in the first two quarters; redeployed 4 FTE to higher-value work."
"Compressed days-in-A/R from 47 to 29. Identified $1.6M in previously uncollectable claims and recovered 73% of them."
The Cleanpass system
Three tiers. One integrated AI infrastructure.
Every engagement is scoped to your payer mix, EHR, and operational maturity — and deployed by the same architects who designed it.
Claim Intelligence Layer
Single-site practices ready to stop denials at the source.
- Real-time eligibility & benefits verification
- Pre-submission claim scrubbing against payer rules
- Automated denial root-cause analytics
End-to-End Revenue Cycle AI
Multi-site provider groups recovering 7-figure leakage.
- Autonomous AR follow-up agents per payer
- Coding-assist with audit trail & coder-in-the-loop
- Appeal generation with payer-specific evidence
Integrated Operational Infrastructure
Health systems standardizing AI across the org.
- Cross-EHR data unification & governance
- Custom agent fleet tuned to your payer mix
- Embedded MLOps team & quarterly performance reviews
Security & trust
Built for the rooms where security questions get asked first.
We don't ask you to take security on faith. Every deployment ships with documented controls, integration runbooks, and a named security lead on your account.
HIPAA-aligned architecture
End-to-end encryption in transit and at rest. PHI segregation, audit logging, BAA in place from day one.
SOC 2 Type II in progress
Continuous controls monitoring with quarterly third-party review. Penetration test reports available under NDA.
Integrates with what you run
Native connectors for Epic, Cerner, athenaOne, eClinicalWorks, NextGen, plus all major clearinghouses.
Performance guarantee
Contractually defined ROI floor per engagement. If targets aren't hit, our fees adjust — not yours.
FAQ
Questions our buyers ask first.
How long does a typical deployment take?
Foundation tier ships in 4–6 weeks. End-to-end deployments take 8–12 weeks including integration, testing, and a phased go-live. You start seeing measurable outcomes inside the first 30 days post-launch.
Will my staff need to retrain or relearn workflows?
No. Cleanpass agents work inside your existing EHR and billing software — your team's day-to-day interface doesn't change. We handle change management, write the runbooks, and train your billing leads in two sessions.
What's the ROI guarantee, specifically?
Every engagement defines a quantitative target — typically denial reduction, days-in-A/R, or net recovery — written into the contract. If we miss it within the agreed window, our performance fee adjusts. We're betting on the system; you shouldn't have to.
How is patient data handled?
PHI never leaves your governance boundary unencrypted. We deploy inside your cloud or our HIPAA-aligned environment under a signed BAA. Access is least-privilege, logged, and reviewable end-to-end.
Does this replace our billing team?
No — it amplifies them. Our deployments consistently free 30–60% of staff capacity from repetitive work, which clients reinvest into denial appeals, patient collections, and growth. We're a force multiplier, not a layoff plan.
What if our EHR isn't on your integration list?
If it has an API or HL7/FHIR feed, we can integrate it. Custom integrations are scoped during the Strategy Session and quoted before any work begins — no surprises.
Your next quarter
Stop paying the denial tax. Start running the system that ends it.
Book a 30-minute AI Strategy Session. You'll leave with a quantified leakage map, an integration plan for your stack, and a clear path to your ROI floor.