Built for optometry & ophthalmology

The AI billing team built for eye care.

Clearvara handles the full billing lifecycle — from eligibility checks through payment posting — with AI agents that work alongside your billers, not instead of them.

Works with the payers your practice already bills

Automation that earns your trust.

Every feature in Clearvara runs in two modes. You choose which.

Human-led default

Your billers control everything. Clearvara surfaces the same data and tools the AI agents use — you make the calls.

  • Review every ERA before posting
  • Approve each routing decision
  • Manually trigger eligibility checks

Agent-led opt-in

AI agents execute routine work — posting clean payments, checking eligibility, sending reminders — with full audit logging and one-click override.

  • Auto-post ERAs that pass 7 safety checks
  • Nightly eligibility batch verification
  • SMS appointment reminders with reply handling
Manual
You do it
Guided
Clearvara suggests, you approve
Automatic
Clearvara does it, you verify
Review and approve all claim submissions
AI suggests CPT/ICD codes, you confirm
Auto-post clean Medicare ERAs, send reminders

Every AI action is logged — actor, action, outcome, dollar amount. Full audit trail satisfies compliance requirements. Every decision is explainable and reversible.

The full billing lifecycle, handled.

From the first phone call to the final payment — Clearvara manages every step.

Scheduling & Patient Intake

  • AI voice receptionist books appointments via natural conversation
  • Automated SMS reminders with patient reply handling
  • Nightly eligibility batch checks — medical and vision coverage verified before the visit
  • Recall campaigns for overdue patients

Encounter-to-Claim

  • Medical/vision routing engine splits procedures between payers automatically
  • 9-rule claim scrubbing catches errors before submission
  • AI coding assistant for CPT/ICD selection specific to ophtho/optometry
  • EDI claim submission to clearinghouses

Payment Processing

  • ERA auto-posting with 7-point safety evaluation
  • Automatic secondary claim generation
  • Adjustment code translation — billers see reasons, not CARC/RARC codes

Denial Management

  • Denials auto-categorized: authorization, coverage, modifier, duplicate
  • Guided appeal workflow with category-specific letter templates
  • Deadline tracking and follow-up automation

Analytics & Prioritization

  • 8 report types: production, collections, payer performance, AR aging, denial analysis, and more
  • Real-time dashboard KPIs with 7-week trend sparklines
  • Smart work queue — ranked by urgency and dollar amount
Request a Demo

See the full platform with your payers and CPT codes.

Medical or vision? Clearvara knows.

Most patients carry both a medical and a vision plan. Every procedure must go to the right one. Get it wrong and the claim is denied.

Without Clearvara
Select payer: Medical / Vision ?
  • Biller guesses medical or vision
  • Routing rules live in one person's head
  • Single point of failure when that person is out
With Clearvara
Patient Encounter Sarah Johnson — 03/14/2026
92014 Comprehensive eye exam Aetna Medical
S0620 Routine refraction VSP Vision
67028 Intravitreal injection Aetna Medical
  • Every procedure auto-classified by CPT category
  • Per-line-item routing: 92014 to Aetna, S0620 to VSP
  • Plain-language explanation for every routing decision

Split billing, solved

When an encounter spans both payers — cataract surgery on medical, refraction on vision — Clearvara separates the charges and generates both claims automatically.

9-rule claim scrubbing

Routing mismatches, NCCI bundling conflicts, missing modifiers, duplicate claims, laterality errors, timely filing alerts — caught before submission, not after denial.

CPT category awareness

Always-medical (OCT, visual fields, surgery). Always-vision (refractions). Diagnosis-dependent (exam codes routed by ICD-10). Clearvara knows the difference.

A generic RCM vendor would need to rebuild their entire routing engine for one specialty. Clearvara was built for this specialty from day one.

Request a Demo

See routing intelligence with your payers and CPT codes.

From ERA to recovery — nothing falls through.

Clean payments post automatically. Denials get categorized, prioritized, and appealed — with deadlines tracked.

1
Aetna ERA $4,218.50
92014 Comprehensive exam
$185.00
S0620 Routine refraction
$45.00
67028 Intravitreal injection
$385.00

ERAs retrieved & parsed

Payment amounts, adjustments, patient responsibility — extracted and organized automatically.

2
7-Point Safety Check
CO-45 Contractual adjustment
CO-253 Sequestration
PR-1 Patient deductible
Claim ID matched
CO-4 Modifier issue — flagged for review

7-point safety evaluation

Clean payments auto-post. Edge cases get flagged for human review. Every payment passes safety checks.

3
ERA received 9:01 AM
Posted — 11 claims 9:02 AM
1 flagged for review 9:02 AM
Secondary claim filed 9:03 AM
Undo posting

Posted, reconciled, secondary filed

Auto-posted to your ledger. If primary payment falls short, secondary claim generated automatically. Full audit trail, one-click undo.

When claims are denied, Clearvara handles the recovery.

Auto-categorized

Authorization, coverage, modifier, duplicate, other — categorized instantly so your team knows the playbook.

Appeal drafted

Category-specific letter templates. Routing mismatch denials get routing-specific appeal language.

Deadline tracked

Appeal deadlines surface in the work queue. High-dollar denials bubble to the top. Nothing expires unworked.

Same-day ERA posting
7-point safety evaluation
Auto secondary filing
Tracked appeal deadlines

Your team always knows what to work on next.

Clearvara ranks every task by urgency and dollar amount. Filing deadlines, aging AR, high-dollar denials — they surface first.

Filing deadlines never missed

Timely filing alerts surface days before the deadline — not after the claim expires.

Revenue-ranked

A $4,000 denial gets attention before a $50 patient balance. Dollar amount x urgency = priority.

One queue, everything

Denials, follow-ups, eligibility alerts, ERA reviews, patient statements — all in one prioritized view.

The eye care billing problem, by the numbers.

5-10% Average denial rate in eye care
15-25% Of those denials from routing errors
35-40 Average days in AR

Industry averages. Clearvara was built to beat every one.

HIPAA Compliant
Encrypted
Full Audit Trail
BAA Covered

See Clearvara with your payers and CPT codes.

A live walkthrough of the full platform — scheduling, claims, payments, denials, analytics — configured for your practice.

Request a Demo

No commitment required.