Simple pricing.
No percentages. No surprises.

No. We draft the letters. Your team reviews them and submits. This is by design. You know your payer portals, your relationship history, and your practice credentials. We know payer policy language and clinical narrative structure. Keeping submission in your hands also means no proxy authorization or clearinghouse fees on our end.

We have the deepest payer-policy coverage for behavioral health, physical therapy, occupational therapy, chiropractic, and primary care. These are the specialties with the most repetitive and recoverable denial patterns. If your specialty is not listed, book a 15-minute call and we will tell you honestly whether we can serve you well right now.

You send us 12 months of denied claims as a remittance export or EOB file, redacted per our Safe Harbor checklist. We review every denial, cross-reference current payer policy, and identify claims still inside the appeal window with strong overturn probability. You get back a prioritized recovery report and drafted appeal letters for the top 20 opportunities within 5 business days. If we do not surface at least $2,000 in recoverable revenue, you pay nothing.

No. All monthly plans are month-to-month. Cancel any time with 30 days notice. The $499 audit is a one-time purchase with no obligation to subscribe afterward. We think the results make the case for continuing. We do not need a contract to make that point.

We sign a Business Associate Agreement with every client before any files are exchanged. We provide a Safe Harbor redaction checklist so PHI is removed before documents leave your system. All work is conducted under our HIPAA-compliant data handling practices. We never store identifiable patient data beyond the active engagement window.

Billing company partners receive all audit reports, denial summaries, and appeal letters formatted with their company name and branding, not Claro Health's. Your clients see the work as coming from you. This keeps your client relationships intact and lets you position denial recovery as a premium service you provide, not a tool you resell.

Full coverage for Aetna, UnitedHealthcare, Cigna, Humana, Blue Cross Blue Shield (all major affiliates), Anthem, Medicare fee-for-service, and Medicare Advantage plans. Medicaid coverage is available on the Billing Partner plan and varies by state. We update our payer policy database continuously as clinical policy bulletins are revised.

We do not publish a universal success rate because success depends heavily on the specific denial reason, payer, and how long ago the claim was originally denied. What we can say is that 81.7% of all appealed denials across the industry are overturned when a properly constructed appeal is submitted. Our letters are built to meet that standard. Your audit report will include our confidence-tier scoring for every opportunity we surface.