Claritiv is an autonomous AI analyst that reviews every claim, catches coding errors before they become denials, and recovers the revenue your practice is leaving on the table.
The problem
Incorrect CPT, ICD-10, or HCPCS codes slip through manual review, triggering denials and delayed reimbursement.
80% of denied claims can be overturned, but most practices lack the bandwidth to pursue appeals systematically.
Weak clinical documentation leads to downcoding and missed reimbursement for the complexity of care delivered.
CMS regulations change constantly. Falling behind means audit risk and potential financial penalties.
How Claritiv works
Every claim is analyzed against current coding standards, payer-specific rules, and your practice's historical patterns. Errors are flagged before submission.
When claims are denied, Claritiv identifies the root cause, drafts appeal language, and prioritizes cases by recovery potential. No more revenue left on the table.
Daily pulse checks on your revenue cycle health. Spot trends, catch anomalies, and get clear reports on where money is flowing and where it's stuck.
Continuous monitoring of CMS updates, payer policy changes, and coding revisions. Your practice stays current without the research overhead.
Why this is different
| Traditional RCM | Claritiv | |
|---|---|---|
| Availability | Business hours | 24/7 autonomous |
| Claim review speed | Hours per batch | Seconds per claim |
| Denial response | Days to weeks | Same-day analysis |
| Cost | $5,000-15,000/mo | Fraction of that |
| Scales with you | Hire more staff | Instantly |
Built by someone who's seen where the money leaks. Claritiv brings financial clarity to the practices that need it most.