Audit medical bills with precision.
Protect patients from overcharging.

Clara automates line-item reconciliation between provider bills and insurance EOBs—instantly catching duplicate charges, balance billing, facility fee traps, and coding violations in seconds.

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100%

Line-item auditable

Isolated

Patient binders

< 60 sec

Reconciliation time

6 years

HIPAA retention

Interactive artifact

See what Clara delivers

Click the preview below to inspect a full audit artifact generated by Clara.

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ENCOUNTER ID: #ENC-8921-SF

Audit breakdown & financial summary

Total billed$14,850.00

Insurer paid$8,200.00

EOB responsibility$1,150.00

Discrepancy flagged$2,450.00

Line item analysisAudit status

CPT 99285 - Emergency dept visit (Level 5)Context: Visit duration ~15 mins. Time-based upcoding detected.

Flagged for upcoding

HCPCS G0463 - Hospital outpatient clinic serviceContext: Off-site satellite clinic location. Billed facility fee.

Flagged for facility fee

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Advocate-first operations

Designed for your daily workflow

Built to eliminate administrative friction so patient advocates and directors can focus on high-touch care.

⏱️

Hours of manual work saved

Automate tedious line-item cross-referencing between lengthy EOBs and hospital bills so staff can focus on high-touch patient advocacy.

📱

Mobile handoff document scanning

Snap photos of paper medical statements or multi-page bills on a phone and seamlessly hand them off to the desktop web app in real time.

📁

Isolated electronic patient binders

Keep every client's bills, EOBs, and audit trails organized in isolated digital binders with strict database rules and no cross-contamination.

🛡️

6-Year HIPAA retention & audit readiness

Full compliance with healthcare data retention requirements. Encounters and line-item match rationale are archived securely for 6 years.

Built-in logic engine

What Clara audits for

No generic AI fluff. Clara executes specific, high-value billing verification rules to protect patients.

RULE: PRICE MISMATCH

Balance billing & math mismatches

Detects when provider bills exceed the legal patient responsibility defined on the insurance EOB.

✓ Eliminates illegal out-of-pocket balance bills.

RULE: DUPLICATE BILLING

Duplicate billing detection

Scans multi-page statements and historical records to catch re-billed services and repeat line items.

✓ Wipes out duplicate charges across re-issued hospital statements.

RULE: FACILITY FEE

Outpatient facility fee traps

Cross-references CPT codes against patient context to flag hospital fees billed for off-site clinic visits.

✓ Removes $500–$2,000+ predatory facility add-on charges.

RULE: UNBUNDLING TRAP

Unbundling & coding edits

Identifies CPT codes that violate NCCI guidelines or mutually exclusive billing rules.

✓ Corrects inflated, fragmented procedural coding.

RULE: NON-COMPLIANT COPAY

Preventive care compliance

Flags non-zero copays or coinsurance applied to scheduled $0 preventive screenings.

✓ Restores 100% ACA-mandated preventive coverage.

RULE: LATE-FILING VIOLATION

Timely filing violations

Identifies claims submitted past insurer deadlines or billed >365 days post-service.

✓ Reduces patient liability to $0 under provider rules.

Our mission

Why I built Clara

As a software engineer, I experienced the chaotic opacity of American healthcare firsthand when reviewing the complex, line-item hospital bills and insurance documents following the birth of my son.

Realizing that professional patient advocates spend hours manually cross-referencing CPT codes and EOB spreadsheets every single day, I built Clara—an automated, human-in-the-loop auditing assistant designed to give advocates enterprise-grade speed, accuracy, and security, so advocates can better spend their time helping patients.

Frequently Asked Questions

Everything You Need to Know

Common questions about Clara's audit engine, data privacy, and workflow integration.

Q:How does Clara handle patient data privacy and HIPAA compliance?

A:Clara is built on enterprise Google Cloud Vertex AI infrastructure operating under a signed Business Associate Agreement (BAA). Patient data is encrypted in transit (TLS 1.3) and at rest (AES-256) and is never used to train public AI models.

Q:How long are patient records and audit histories retained?

A:All encounter files, itemized audit histories, and line-item decision trails are archived in isolated electronic binders and retained for 6 years to satisfy HIPAA regulatory requirements.

Q:How does mobile-to-desktop document handoff work?

A:You can scan paper hospital bills or physical EOBs using your smartphone camera. The upload automatically syncs to your desktop workspace instantly—no manual downloading or email attachments needed.

Q:Does Clara replace the advocate's judgment?

A:No. Clara operates strictly on a 'human-in-the-loop' philosophy. It performs deterministic math and clinical logic checks, providing line-item citations so advocates retain full decision-making control.

Audit medical bills with precision. Protect patients from overcharging.