Clinical Revenue Operating System

Payers are underpaying you. It happens quietly, every day.

Every time a payer underpays or downcodes a claim, revenue walks out the door. No alert. No flag. No one catches it. ClinRevOS was built to catch it, and to make sure it never happens again.

app.clinrevos.com / variance
Variance Detection
Last sync · 14 min ago
Flags
Payer rates
Recovery queue
Trends
Flagged this month
$48,210
Underpayment rate
4.2%↑ 0.8
In recovery
$31,640
Payer · CPT
Expected
Paid
Status
Aetna Commercial · 96365
$284.50
$211.20
Variance
UHC · J1745
$4,128.00
$3,690.00
Variance
BCBS FL · 45380
$612.00
$612.00
Paid
Cigna · 96413
$378.40
$340.10
Review
The problem

Most practices can't see where revenue is leaking, because their tools were built to track claims, not contracts.

i.

Payers don't update their systems

When Medicare rates change quarterly, commercial contracts that reference those rates should auto-adjust. Most payers miss it. You absorb the difference.

ii.

Billed charges hide the real problem

Your AR aging shows inflated billed amounts. The true underpayment lives in the allowed amount versus what was actually paid, a gap most practices never measure.

iii.

Your staff is reacting, not preventing

Billing teams spend hours chasing individual denials after the fact. Without a pattern layer, the same payer makes the same error every month and you keep catching it too late.

iv.

RCM tools track what happened, not what's wrong

Your EHR and clearinghouse tell you a claim was paid. ClinRevOS tells you whether it was paid correctly and by how much it fell short.

How it works

Four architectural choices that separate us from legacy recovery firms.

We didn't build another contingency service. We built the infrastructure layer that makes underpayment visible, traceable, and preventable.

01 Onboarding

Remittance first, no contract digitization required.

We learn your payer rates from your actual remittance history, not from contract PDFs you have to find, scan, and load. Onboarding measured in weeks, not quarters.

02 Pricing

Transparent and published.

$1,499 per month, listed on this page. No quote calls. No contingency fee on dollars you recover. Our economics work because the software does, not because we take a cut of your collections.

03 Design

Built for specialty, not general practice.

High-dollar in-office billings, infusions, procedures, diagnostics, imaging. The variance math, code groupings, and payer behaviors are tuned for specialty economics, not flattened to a general-RCM lowest common denominator.

04 Delivery

Self-serve speed, operator support.

You upload an 835 file. The platform reads it, flags variance, surfaces the pattern. Founder-led implementation for the first ten practices. No six-figure consulting engagement on top.

What practices recover

The number is bigger than most practices realize.

3-5%
Average underpayment rate observed across specialty practices
$60K+
Typical annual recovery for practices billing $2M+ in specialty claims
4-8x
Return on platform investment for qualifying practices in year one

Based on practices billing $2M+ annually in specialty clinical procedures. Individual results vary by payer mix, claim volume, and contract terms.

Built for these specialties

Specialty economics, not generalist tooling.

Gastroenterology
Oncology
Dermatology
Urology
Pain Management
Cardiology
Ophthalmology

Any independent or group practice billing high-dollar in-office clinical procedures. Works across EHR and clearinghouse platforms.

Founding member program

First ten practices. Rate locked. Founder-led.

We are onboarding the first ten charter practices before our June 1st launch. Charter members lock favorable pricing for the life of the relationship and get founder-led implementation directly from the team building the platform.

Charter pricing
$1,299
/ month
Or $12,990 annual prepay. Rate locked for the life of the relationship.
Full platform access, all variance flagging and recovery features
Direct implementation from the founding team
Input on roadmap, your billing reality shapes the product
Signed BAA, full HIPAA compliance from day one
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