Multi-Source Coverage Discovery
Automatically checks multiple clearinghouses, direct payer connections, and payer portals instead of relying on one limited clearinghouse response.
CoOrdio Clear
Eligibility, Benefits Interpretation & Coordination of Benefits
Don't just check eligibility. Interpret the benefits.
CoOrdio is the only company that automatically interprets benefits across multiple clearinghouses, direct payer connections, and payer portals, delivered straight into your EHR. Not a simple active or inactive check through one limited clearinghouse.
Trusted by leading healthcare organizations
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Two eligibility stories.
01Behavioral Health
Centerstone
Largest nonprofit behavioral health provider in the U.S.
8 FTEs → 0.25Eligibility verification staffing
400 → 50Monthly claim denials
View client story
02FQHC
Valley Oaks Health
Leading Indiana community health system
60%Of denials traced to eligibility, benefits and Medicaid MCO errors
View client story
"We used to have 300 to 400 eligibility denials a month, now there's about 50. An 8-person process is down to about two hours."
Gabriel Enz, VP Client Financial Services, Centerstone"Before OpenBots, 60% of our denials came from eligibility alone."
Jason Nesius, CFO of Valley Oaks Health12%Approximate healthcare denial rate
#1Eligibility is the leading denial driver
~50%Of eligibility denials tied to the wrong payer
$4M+Centerstone A/R reduction
The differentiator
One path, or every path.
The difference is not how fast the check runs. It is whether anyone interprets the answer.
Standard clearinghouse
Appointment booked
One clearinghouse query
The answer comes back: active or inactive. Nothing else.
Nobody knows which payer is primary, what the patient owes, or whether a carve-out applies
The claim gets denied.
CoOrdio Clear
Appointment booked
Triage and cascade engine reads the live 271 and queries every available source
Clearinghouse networks
Direct payer connections
Payer portals
AI reads every response, resolves payer order, fills the patient estimate, flags grace periods.
Complete structured result, correct payer and full benefits written back into the EHR
The claim gets paid the first time.
Capabilities
The most complete and accurate benefits picture
Replace manual payer-portal work and basic eligibility checks with automated discovery, interpretation, and Coordination of Benefits.
AI Benefits Interpretation
Interprets carve-outs, grace periods, coverage terminations, patient responsibility, benefit limits, and estimates, not just whether coverage is active.
Automated Coordination of Benefits
Finds the correct payer, identifies the correct Medicaid MCO, resolves coverage order, and helps ensure the right plan is billed before claim submission.
What Clear changes
Prevent the denial, avoid the rework, remove the manual work
60%+
Fewer Eligibility Denials
Identify coverage and payer order issues before billing, not after the denial comes back.
~$50
Avoided Rework Per Denied Claim
Prevent the administrative cost of researching, correcting, resubmitting, and following up on an avoidable denial.
5 FTEs
Manual Work Eliminated
Average full time equivalents taken over, with no manual payer portal checks, repeated data entry, or correcting errors in names, dates of birth, and demographics.
6,500+
Payers Connected
Real time coverage checks across clearinghouse networks, direct payer connections, and payer portals.
Medicaid
Correct MCO Identified
CoOrdio finds the right Medicaid managed care organization and makes sure it gets billed correctly.
Pre-visit
Patient Estimates
Deductible, coinsurance, and out of pocket exposure calculated before the appointment so front desk teams can collect upfront.
Connected revenue cycle
Start with Clear. Coordinate the entire revenue cycle.
Eligibility and Coordination of Benefits prevent avoidable errors at the front door. From there, CoOrdio agents extend the same automation across prior authorization, fax intake, referrals, payment posting, A/R follow-up, and AI no-show prevention.
Inside the Platform
See CoOrdio Clear in action
Review verification activity, outcomes, and coverage exceptions across your patient population.
Process Flow
How CoOrdio Clear works
Multi-source discovery and benefits interpretation from appointment scheduling to a billing-ready result.
1
Start From the Schedule
CoOrdio Clear pulls the appointment and validates patient demographics and payer information before the eligibility workflow begins.
2
Cascade Across Sources
The engine checks multiple clearinghouses, direct payer connections, and payer portals until it has the most complete available coverage picture.
3
Interpret Benefits & Coordination of Benefits
AI interprets benefit details, resolves payer order and Medicaid MCO coverage, and identifies gaps that a simple active/inactive check misses.
4
Return a Structured Result
Clear sends accurate benefits, patient responsibility, and exceptions back to the workflow so teams can act before care and before billing.
Explore Your Exposure
Estimate the revenue affected by eligibility errors
Adjust the assumptions to explore the scale of eligibility-related revenue exposure in your organization.
Your practice
Weekly patient visits250
Avg claim value$180
Eligibility error rate18%
Claims recovered after denial35%
Use your organization's own assumptions where available. This estimate is illustrative and is not a guarantee of results.
Your numbers
Annual claims submitted
13,000
based on your weekly visits
Claims affected by eligibility errors
2,340
18% of annual claims
Estimated annual revenue exposure
$273,780
based on the assumptions selected
Use this as a conversation starter
A personalized review can map this exposure to your actual payer mix, eligibility workflow, and available claim data.
See CoOrdio Clear in action
See how Clear can coordinate benefits, interpret coverage, and stop eligibility denials within your existing operations.
Clear FAQ
CoOrdio Clear: common questions
- What is CoOrdio Clear?
- CoOrdio Clear is an eligibility and benefits interpretation tool that checks multiple clearinghouses and payer sources, uses AI to interpret benefits, and automates Coordination of Benefits.
- How is CoOrdio Clear different from standard eligibility checks?
- Instead of relying on a single clearinghouse for a basic active/inactive response, Clear cascades across multiple sources to find the most complete coverage picture, then uses AI to interpret carve-outs, grace periods, patient responsibility, and payer order.
- Can CoOrdio Clear identify the correct Medicaid MCO?
- Yes. Clear is designed to navigate Medicaid and identify the correct Managed Care Organization (MCO) to ensure the right plan is billed before the claim is submitted.
- Does CoOrdio Clear handle Coordination of Benefits?
- Yes. Clear automatically resolves payer order and identifies coverage exceptions to help prevent front-end denials related to Coordination of Benefits.
- How does CoOrdio Clear integrate with my EHR?
- Clear offers integration options for EHR and practice management workflows, returning a structured result directly to the system where your team works.