Process
How It Works
An eight-step process that integrates seamlessly into your Emergency Department workflow — from patient presentation through active case management and full episode revenue retention.
Patient Presents
A patient arrives at the Emergency Department with an injury that may involve a motor vehicle accident, workplace incident, or other third-party liability event.
Automatic Engagement
Our Clarity Partner is automatically engaged at registration. Every accident-flagged encounter is reviewed in real time — no manual referral needed.
Liability Determination
We determine whether a third-party liability (TPL), workers compensation (WC), or MedPay/UIM pathway applies — classifying each case with certainty.
Documentation Capture
Police reports, insurance carrier details, claim numbers, adjuster contacts, and attorney information are gathered and verified.
EMR Update
The patient record is updated in your EMR with the correct payor, billing order, and suppression timing — aligned with your existing workflows.
Clean Claim Submission
With accurate payor data in place, claims go out clean on the first pass — no rework, no denials from incorrect routing.
Active Case Management
Our team manages each verified case to ensure the patient stays in-system for all follow-up care. We coordinate with scheduling, specialists, and care navigation so that PT, imaging, surgery, and rehab all happen within your hospital system.
Full Episode Revenue Retention
The ED bill is just the beginning. By keeping the entire episode of care — from emergency presentation through surgery, therapy, and rehabilitation — in your system, we protect the full revenue stream that these high-value cases generate.
“A simple intervention at the front end eliminates complexity at the back end — and keeps the full episode of care where it belongs: in your system.”
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