Clarity Health Services

Clarity Health Services, founded in 2007 in Seattle, WA, operates as a provider of care-coordination services tailored for medical practices, hospitals, and health systems. The company focuses on streamlining the administrative complexities of healthcare by offering a solution for insurance pre-authorization and referral management. This service is designed to help healthcare providers enhance patient referral success rates, prevent payment denials, and lower administrative overhead.

The core of Clarity's offering is a web-based platform that merges a proprietary analytics engine with a dedicated service organization. This combination enables adherence to health plan payment and utilization guidelines, delivering rapid and accurate insurance authorizations electronically. The platform includes tools for real-time care coordination and streamlined referral processes, alongside data and analytics to provide insights into care transition patterns. This addresses the critical need for efficiency in processes like managing emergency department discharges. The business model is twofold: Clarity provides its services directly to a nationwide client base of over 100 health systems, Accountable Care Organizations, imaging centers, and physician practices, and also partners with third-party healthcare technology vendors by offering its platform as an embedded solution.

From a financial perspective, Clarity Health Services has been venture-backed, having raised capital through several funding rounds. Records show the company raised $4.68 million in a Series C round in October 2011 and another funding round in December 2013. The company's revenue was estimated to be in the range of $10 million. A significant milestone in the company's history was its acquisition by SCI Solutions on November 2, 2015. This merger was positioned to create one of the larger referral management and care coordination software firms in the industry, combining the strengths of both entities to better serve the growing demand for coordinated healthcare, a trend amplified by the Affordable Care Act. The joint entity aimed to serve thousands of physicians and hundreds of healthcare facilities across the United States.

Keywords: care coordination, referral management, insurance authorization, healthcare administration, revenue cycle management, patient scheduling, healthcare analytics, health systems solutions, medical practice efficiency, payment denial prevention, health plan compliance, prior authorization, healthcare financial services, digital health, HealthTech, patient access solutions, care transition management, provider network management, embedded healthcare solutions