Simplify claim and utilization management with improved outcomes - at a lower cost

An end-to-end, automated decision support solution for workers’ compensation with a unified source of all guidelines, and AI-driven insights.

Authorize Treatments From a Single Source of All Guidelines

Case managers can now pre-authorize and approve treatments based on the applicable state and evidence-based guidelines from a single repository, updated in real time. Eliminating the time and the effort to search multiple sources of guidelines, Claim Clarity simplifies the process to review cases and approve treatments instantly.

Accurately Define Injuries to Instantly Find the Required Treatments

Your team does not have to be medical experts to correctly define an injury. Simply enter your description in your own words to find the necessary treatment. Claim Clarity’s semantic modeling engine has codified all data to align the underlying concepts and attributes of the search terms with universal ICP and CPT codes. The system automatically matches unstructured descriptions with harmonized data to approve treatments for more efficient claims and effective outcomes.

Make Informed Decisions with Prescriptive Insights

Claim Clarity is driven by a powerful AI engine that assists with decisions in those cases where recommended care deviates from guidelines. Based on analyses of millions of historical precedents and outcomes, AI approves treatments or diverts outlier cases for reviews, giving users the confidence they need to make informed decisions.

ABOUT US

Powerful AI + Harmonized Domain Data + Unparalleled Industry Expertise = Claim Clarity

Claim Clarity is the culmination of our decade-long career in the workers’ compensation industry. We experienced the same inefficiencies and business challenges that many of you are facing everyday. That is why we created this technology - with a desire to improve the process for everyone, and a drive to accurately inform the decisions that affect the lives of many people that depend on us.

Claim Clarity is the product that brings together our industry expertise with the latest technology - powered by AI. As our solution evolves in lockstep with developments in AI, it also evolves through our strategic partnerships with customers and partners, the industry’s leading players.

Our Mission

Our Mission is to transform the way medical and return-to-work beneftis are managed within the Workers' Compensation system, improving claim outcomes and eliminating the negative impact for injured workers and their families who must rely on a system with no standard data outline or terminology source, yet the exlusive remedy for all related medical care as they recover from their work related injury or illness.

Our Vision

Claim Clarity was founded with a vision to transform the information service industry by providing accessible, reliable, and innovative solutions that empower businesses and individuals alike. Our mission is to be the leading provider of information services in the industry, delivering exceptional value to our customers and driving positive change in the world.

Our Commitment

At Claim Clarity, we are committed to providing our customers with the highest level of service and support. We believe in transparency, honesty, and integrity in everything we do, and we are dedicated to building long-term relationships with our customers based on mutual trust and respect.

Our Partner

We are proud to have established partnerships with some of the most respected names in the industry. These partnerships allow us to provide our customers with access to the latest technologies and innovations, ensuring that they always have the best possible solutions at their fingertips.

A fully automated solution that maximizes productivity and improves claims outcomes for providers and payers

Leading organizations trust Claim Clarity to manage their workers’ compensation programs

01

Claims Administration & Management

Complete claims faster with maximum accuracy and efficiency.
02

Medical Benefits Management

Identify, authorize and track effective treatments to improve outcomes.
03

Bill Review & Management

Lower costs and accelerate payments with streamlined processes.
04

Utilization Review & Management

Determine safe and effective treatments to return employees back to work faster.

Transform Your Business with Strategic Solutions

Claim Clarity’s AI solution provides untapped opportunities for payers, providers, administrators, and government organizations to transform their data into actionable insights. Working closely with your team, Claim Clarity will analyze your claim and case management operations and provide strategic consulting and technology solutions customized to your unique business needs to help you improve outcomes, grow your business, and increase profitability.

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Address

1515 North University Drive, Suite 205D, Coral Springs, Florida 33065, United States

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