Clarity Health RCM

Clarity Health RCM is a specialty revenue cycle management company based in Chicago, serving practices and physician groups across the United States. For healthcare organizations looking to outsource their back-office billing operations, Clarity brings over 40 years of combined team experience working the most complex claims in the industry, paired with intelligent automation to push through denials that most billing vendors leave unresolved. The service model covers the entire revenue cycle or a single stage where a practice is actively losing money. Offerings include credentialing and provider enrollment, patient account management (registration, eligibility and benefits verification, prior authorization, statements, and collections), medical billing with charge entry, claim scrubbing, electronic submission, payment posting, and persistent A/R follow-up, denial management with root-cause analysis by payer and appeal to resolution, CPT/ICD-10/HCPCS coding and auditing, and KPI and payment analytics with custom dashboards. Practices can outsource the full cycle or bring Clarity in for one specific problem. The client base is specialty practices and physician groups nationwide, with particular depth in behavioral health (IOP, PHP, and residential programs), mental health and psychiatry, inpatient physician billing, and outpatient physician billing. These are four of the hardest billing categories in healthcare, where mis-routed carve-outs, lapsed authorizations, and documentation errors can quietly drain collections for months. Team members have worked inside major Chicago-area health systems including Rush, Northwestern, Saint Anthony, Trinity, Little Company of Mary, and Consuelo Behavioral Health. Clarity's premise is that revenue losses rarely originate at the claim. They start upstream: at intake when coverage goes unverified, at routing when behavioral claims hit the wrong payer, at authorization when concurrent review lapses, and in the denial queue when overloaded teams simply never rework the appeals. The company has recovered more than $5 million for clients on claims prior billers wrote off, and practices typically stabilize into a clean-claim cycle within 90 days of switching. Changing billing vendors carries real risk of cash-flow disruption and lost A/R. Clarity's onboarding process runs under 30 days, with a documented plan, full open A/R inventory, old-vendor data export, and direct leadership access from day one. Practices ready to see where their revenue is leaking are encouraged to get in touch.