Have faith in your estimates

Clarity Flow is MD Clarity’s cloud-based patient estimate software that turns insurance benefits, contracted rates, and service details into accurate, patient cost estimates. Once a patient is scheduled, the software automatically delivers these estimates by text, email, or letter, most often with no staff intervention. Because the estimate includes a secure payment link, many patients place deposits on the spot, an outcome proven to reduce no-shows. Patient payment estimates facilitate and improve upfront collections and cut downstream bad-debt risk. Clarity Flow also removes the manual spreadsheet work of No Surprises Act compliance.

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The result is a smoother patient financial experience, higher patient satisfaction, and more predictable cash flow. CMS estimates that compiling a patient payment estimate can take up to 1.3 hours. When patient payment estimates are generated instantly or in minutes at most, provider organizations speed scheduling and collections.  

Providers know that every day a balance ages, it becomes less collectible. Yet collection habits, data limitations, patient affordability concerns, regulatory caution, and uneven staff preparedness keep some provider organizations anchored to post-service billing—even as rising deductibles make that model increasingly unsustainable. This said, the trend toward pre-service collections is rising. Becker’s Hospital Review reports that hospitals now collect 23% of total patient balances before surgeries.  

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Today, patient financial service representatives and other front office staff ask for copays, prior balances, and part of deductibles at check-in. Still, the workflow behind generating an accurate cost estimate before an appointment can be cumbersome. Eligibility data, contract rates, and service details often live in separate systems. Drawing from each to create an accurate estimate often delays the delivery of patient cost estimates. 

Patient estimate software offers several benefits for provider organizations beyond compliance with No Surprises Act price transparency regulations. 

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First, organizations that replace manual spreadsheets with automated calculations reduce time spent on analysis. Reps can handle more patients per shift, reducing costs to collect. 

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In addition, today’s discerning patients want to know their financial responsibility ahead of time. Upfront cost transparency helps them comparison shop,  better prepare for medical expenses, and even work with your patient financial services reps on payment plans. Even better, informed patients typically report higher satisfaction with their healthcare experience.

Clarity Flow accurately automates every step the No Surprises Act (NoSA) requires for good faith estimates (GFEs). Its HIPAA-secure workflow meets tight federal timelines for GFEs, verifies eligibility in real time, and logs every estimate for audit defense. 

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Once a patient is scheduled or requests an estimate, the platform instantly pulls eligibility data, the provider’s contracted rates, and any self-pay discounts, then assembles the itemized GFE. It delivers the estimate by the patient’s preferred method (email, text, PDF) within the federal timelines, which are: 

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• one business day after scheduling if the service is less than three business days away, or 
• within 3 business days of a patient’s request.

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In short, the software turns a 1.3-hour manual paperwork chore into a real-time, hands-off workflow, ensuring practices stay compliant even at high patient volumes.  

Clarity Flow lifts net revenue by increasing upfront cash collections from patients. Collecting more upfront means those dollars never enter A/R, reducing bad-debt leakage.

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Up-front estimates also cut the expense side of the ledger. Every statement avoided eliminates printing, postage, follow-up calls, and collection-agency fees. Staff chase fewer aging balances.  

Clarity Flow is an integration-agnostic platform that connects with various practice management systems, clearinghouses, and data warehouses to power its workflows. The Clarity Flow platform typically uses APIs and HL7/FHIR interfaces to integrate with leading systems such as ModMed, athenahealth, eClinicalWorks, and NextGen. Scheduling, demographics, and insurance data flow automatically once systems are connected. Read more about MD Clarity’s integrations. 

Clarity Flow draws eligibility, deductible, coinsurance, and contract‐specific rate data in real time, then applies MD Clarity’s proprietary pricing engine to every procedure or diagnosis code. By comprehensively simulating exactly how payers adjudicate claims, Clarity Flow compiles estimates with the highest possible level of accuracy.