Built exclusively for optometry & ophthalmology
Automated EOB posting, payment reconciliation, and the only medical-vs-vision payer routing engine built for eye care. Your team gets their time back — fewer denials, faster payments, full audit trail.
Your billing team prints remittances from payer portals, matches each line to a claim, keys in the payment, looks up the adjustment code, calculates the write-off, and moves on to the next one.
Forty to sixty hours a month — just on data entry. Your most skilled billers tied up on work a machine should do, while denials pile up, appeals miss deadlines, and AR ages past 90 days.
And when your best biller calls in sick? Everything stops.
Printing EOBs, matching payments, keying amounts, looking up CARC/RARC codes — every single day.
Medical or vision? Wrong choice means a denial. 15-25% of eye care denials come from incorrect payer routing.
When posting takes all morning, there's no time left for denials, appeals, and follow-ups — the work that actually recovers revenue.
Clearvara retrieves your ERAs, matches every payment to the right claim, translates every adjustment code into plain language, and posts automatically — with a full audit trail.
Electronic Remittance Advice files retrieved automatically. Payment amounts, adjustments, patient responsibility, and claim-level adjudication extracted and organized.
Every ERA record matched to the original claim by claim ID, with intelligent fallback matching by patient name, date of service, CPT code, and billed amount.
300+ adjustment reason codes translated to plain billing language, with optometry-specific flagging. Your team understands why a payment was adjusted — instantly.
Global and per-payer toggles with 7 safety criteria. Auto-post clean Medicare ERAs while manually reviewing vision plan payments. You decide how much to automate.
Any auto-posted remittance can be reverted with one click. Undo rate is tracked so you can see exactly how accurate the system is — real confidence data.
EFT trace numbers matched to deposits in real time. Every dollar accounted for. No more hunting through bank statements.
Unmatched or ambiguous records go to an exception queue for human review instead of being silently skipped. Nothing falls through the cracks.
freed from manual data entry. Your billing team works denials, appeals, and AR follow-up instead.
Payments posted the day they arrive — not days later. Faster cash flow from day one.
Every amount traced to the source ERA line. Auto-posting success rate tracked as a KPI.
Measurable accuracy with undo rate tracking. Real confidence data, not promises.
Once posting is automated, your billers have capacity to work the exceptions. Clearvara gives them a prioritized playbook.
One screen. Everything that needs attention today. No more switching between tabs to find work.
Track every claim from encounter through payment — with complete visibility at every step.
Every denied claim surfaces with its reason, filing deadline urgency, and suggested next step.
Guided appeal creation that turns a 45-minute task into a 5-minute task.
Every outstanding claim, organized by age, with a suggested next action.
Check patient insurance eligibility for both medical and vision plans simultaneously — before the visit, not after the denial.
A rules engine that catches errors before claims go out — not after they come back denied.
Eight pre-built reports covering the metrics that matter.
Eye care billing is unlike any other specialty. Most patients carry both a medical plan and a vision plan. Every procedure must be routed to the correct payer — and incorrect routing is the #1 source of denials in optometry.
Generic RCM platforms treat medical-vs-vision routing as a manual dropdown — the biller picks "medical" or "vision" for each claim. This requires deep tribal knowledge, constant lookups, and creates a single point of failure when your most experienced biller is out sick.
Every procedure classified as medical or routine/vision based on ICD-10 diagnosis codes, CPT procedure codes, and clinical context. No manual selection.
When a patient has dual coverage, each line item is routed independently. The comprehensive medical exam (92014) goes to Aetna. The routine refraction (92015) goes to VSP. Automatically.
When an encounter spans both payers, Clearvara identifies the split, separates the charges, and guides the biller through submission to each payer.
"Routed to medical: diagnosis H40.11 [primary open-angle glaucoma] is a medical condition, not a routine vision exam." Your team verifies the logic and learns the rules over time.
Automatically identifies when a significant, separately identifiable E/M service was performed alongside a routine procedure and recommends modifier -25 — one of the most commonly missed revenue opportunities in eye care.
Medical-vs-vision routing accuracy is tracked on the dashboard. You always know how the system is performing — with real data, not claims.
A generic RCM vendor would need to rebuild their entire routing engine for one specialty. Clearvara was built for this specialty from day one.
Clearvara doesn't force automation. Every action starts in human-in-the-loop mode — the system recommends, you approve. Increase autonomy at your own pace.
Auto-post clean Medicare ERAs while manually reviewing vision plan payments
Route established-patient exams automatically while reviewing new-patient encounters
Enable automatic eligibility checks at scheduling while manually verifying complex cases
Auto-posting success rate, routing accuracy, scrub catch rate — all measured and visible. The system proactively suggests increasing autonomy when thresholds are consistently met, with clear evidence.
Switch to manual with zero data loss. This isn't a toggle between "manual" and "AI." It's a trust gradient that respects the expertise of billing professionals.
Every routing decision, every scrub finding, every auto-posted payment — explained in plain billing language. Complete audit trail of every action with timestamp, actor, and rationale.
| Today (Manual) | With Clearvara |
|---|---|
| Print EOBs from payer portals, manually key payments | ERAs auto-retrieved and posted in seconds |
| Look up CARC/RARC codes in a PDF reference | Adjustment codes translated to plain language inline |
| Check a spreadsheet to decide medical vs. vision | Automatic routing with plain-language explanation |
| Call the payer to check eligibility | Real-time dual eligibility check (medical + vision) |
| Track filing deadlines in a calendar | Automatic alerts with escalating urgency |
| Switch between 5 screens to find today's work | One prioritized work queue with dollar amounts |
| Spend 45 minutes drafting an appeal letter | Auto-generated letter with guided fill-in questions |
| Run reports in Excel from exported data | 8 pre-built reports with medical/vision breakdowns |
Built on HIPAA-eligible infrastructure from day one — not bolted on as an afterthought.
Encryption at rest and in transit
Minimum necessary principle enforced
Every action logged for HIPAA audit readiness
All third-party services covered
Summary metrics never expose patient data
ECS Fargate, RDS, Cognito
Electronic claim submission and ERA retrieval
Automated enrollment for ERA, Claims, and Eligibility transactions
FHIR API integration with Compulink and RevolutionEHR
Import patients and fee schedules; export reports and data
See how Clearvara can give your billing team 40-60 hours a month back — with fewer denials, faster payments, and full visibility into every dollar.
Request a DemoNo commitment. We'll walk you through the platform with your payers and your workflows.