Services

Two products.
One specialty.

Full Service RCM for ongoing partnerships. Free Diagnostic Preview if you want to see what's broken in your data first. Plus add-ons for specific projects. Pricing transparent and published below.

Primary product Founding Clients pipeline open

Full Service RCM

Ongoing partnership · end-to-end billing operations + Power BI dashboards.

Pricing

5% of net collections

Flat. No tiering by size. Power BI dashboards included.

We only get paid when you get paid. Founding Client: no floor during your first 90 days. ($1,000/month operational minimum starts Day 91, and applies to Cleared's first 5 paying clients only.)

What's included

  • Eligibility verification & prior authorization management
  • Claim submission, payment posting & reconciliation
  • Denial management & first-level appeals
  • AR follow-up & aging segmentation
  • 4 Power BI dashboards: Denial Analysis, AR Aging, BCBA Productivity, Payer Performance
  • Monthly performance report (by 10th business day)
  • Strategic advisory included. Founder-direct access for payer contract questions, fee schedule analysis, payer mix strategy, denial pattern discussions
  • Bilingual (EN/ES) communication with providers, families, front-desk

Term

12-month initial

Best fit

4-10 BCBAs · solo welcome via discovery

Book a Free Initial Review
Free · Application-based 3 selections / month

Diagnostic Preview

Apply to have your last 6 months of PMS data analyzed by Cleared. If selected, you receive a 12-page PDF + Power BI walkthrough showing what's broken in your billing data and how much you may be losing. Cleared selects 3 practices per month based on fit criteria.

Cost

  • For selected applicantsFREE
  • Founder-direct qualityNot commodity

What you get if selected

  • 12-page PDF report with 3 of 6 most impactful findings from your data
  • Power BI walkthrough call (30-60 min) showing your patterns visually
  • Possible findings: posting gap · status discipline · AR concentration · payer mix · denial rate estimate · submission lag
  • One round of Q&A email follow-up

PMS support

Works with any PMS via standardized Excel intake. Confirmed compatibility: Office Puzzle, CentralReach, ABA Matrix, Raven Health, Therabill, SimplePractice, others. If your PMS exports claims, payments, and authorization data to CSV, we can run it through our pipeline.

What it does NOT include

  • Per-payer infrastructure audit (handled during Full Service onboarding)
  • Claim-level recommendations (that's Full Service ongoing)
  • Execution of fixes (Full Service handles implementation)
Apply for a Diagnostic Preview

Add-ons

Standalone projects + extras.

Available to Full Service clients as add-ons, or as standalone engagements. Click any to expand the details, including what we DON'T do and when it's NOT a fit.

FL Medicaid Impact Assessment

$1,500-$3,500 · 14 days

For FL ABA agencies feeling the SMMC 2025 transition. We quantify revenue impact per MCO per code and map your mitigation options.

Who it's for

  • · FL ABA agencies with >40% Medicaid mix
  • · Practices that have felt SMMC transition impact but haven't quantified it
  • · Owners deciding between commercial diversification, volume, or renegotiation

What you get

  • · Per-MCO revenue impact analysis
  • · Per-CPT-code rate change quantification
  • · 12-month projected revenue scenarios
  • · Mitigation roadmap with ranked tactics
  • · Power BI snapshot dashboard
  • · 60-min presentation call with founder

What we DON'T do

  • · Negotiate with MCOs on your behalf
  • · Predict future rate changes
  • · Execute the mitigation tactics (separate engagement)

Not a fit if

  • · You have <20% Medicaid revenue
  • · You want to see your data analyzed before committing → start with the Free Diagnostic Preview

Payer Mix Strategy + Roadmap

$2,500-$4,500 · 30-45 days

For Medicaid-heavy practices (>70%) wanting commercial diversification post-SMMC. Strategy + roadmap only. You or your credentialing specialist handles execution.

Who it's for

  • · Heavy Medicaid practices wanting commercial diversification
  • · Owners planning rate-negotiation conversations with existing payers
  • · Practices considering Single Case Agreement (SCA) strategy

What you get

  • · Payer mix audit (current state)
  • · FL commercial target identification (BCBS FL, Aetna, Cigna, UHC commercial, Humana commercial)
  • · Credentialing roadmap with sequencing
  • · SCA request template + use cases
  • · Rate negotiation playbook

What we DON'T do

  • · Execute credentialing applications
  • · Negotiate directly with payers on your behalf
  • · Guarantee paneling outcomes

Not a fit if

  • · You need full-service credentialing execution → refer to a credentialing specialist
  • · You're <18 months operating → commercial paneling is harder pre-tenure

Custom Power BI Dashboard

$500-$2,500 · 2-4 weeks

A non-standard dashboard beyond the 4 included with Full Service. Patient retention, kanban pipeline, BCBA scorecards. Whatever you need to see.

Who it's for

  • · Full Service clients wanting a 5th+ dashboard beyond the standard 4
  • · Non-clients with their own data pipeline who want a Power BI specialist

What you get

  • · Scoping session
  • · Built dashboard with Row-Level Security
  • · Daily refresh scheduled
  • · Walkthrough + handoff documentation

Not a fit if

  • · You need standalone Power BI without billing relationship + data pipeline already exists → we can; pricing reflects extra setup overhead
  • · You want predictive ML → current product is descriptive analytics, not predictive

Hourly Out-of-Scope Work

$175/hour · 0.1-hr increments

One-off tasks that don't fit any add-on or fall outside your Full Service scope. Tracked in small increments. No surprises.

Typical use cases

  • · Custom reports for board or partner meetings
  • · One-off appeals beyond standard scope
  • · Payer follow-ups beyond AR limits
  • · Ad-hoc dashboard tweaks

How it works

  • · Tracked in small increments
  • · Pre-work scoping email + written OK before we start
  • · Billed monthly on your standard cycle

Not a fit if

  • · Recurring needs → put it in your Full Service scope or use a dedicated add-on
  • · Large multi-week projects → scope as separate engagement

Pricing philosophy

Transparent. Aligned with your collections.

Our promise

You don't pay unless you get paid.

Full Service is 5% of net collections, flat. No tiering by size. Power BI included. Diagnostic Preview is FREE Year 1. We publish prices. Most boutique competitors don't.

5% flat. No tiering by size.

Same percentage whether you're a 4-BCBA practice or a 10-BCBA practice. Power BI dashboards included. Founding Client: no floor during your first 90 days. ($1,000/month operational minimum starts Day 91, and applies to Cleared's first 5 paying clients only.)

Free Initial Review. No contract first.

60-minute discovery call (plus a short written follow-up within 48 hours). We walk through your AR aging, denials, payer mix, and auth workflow patterns. Output: a short written diagnosis with the 3 most-likely patterns we'd address first. No obligation to continue.

FAQ

Honest answers to the questions that come up first.

Do you handle Medicaid?

Yes. Florida Medicaid (post-SMMC 3.0, effective Feb 1, 2025) is our primary focus. Sunshine, Aetna BH, Humana, Molina, Simply, UHC Community Plan. We also handle commercial (BCBS FL, Aetna, Cigna). We know the auth quirks and the modifier matrix per MCO.

What software do you support?

PMS-agnostic. We work via standardized Excel intake with Office Puzzle, CentralReach, ABA Matrix, Raven Health, Therabill, SimplePractice, and other PMSs that can export claims/payments/authorizations to CSV. We work in your system, not ours. If you're on something else, ask. The answer is usually yes.

Do you work outside Florida?

FL is our primary market. Texas is accepted with a discovery call. We want to confirm fit before committing. Other states: reach out, we'll be honest about whether we're the right partner at launch.

How fast can we start?

The Free Initial Review is a no-commitment call: no BAA or system access needed. The Diagnostic Preview runs on de-identified data you export, so it needs no BAA either. Full Service onboarding (signed BAA + read-only access to your billing system) typically takes 2-4 weeks, depending on payer credentialing status and data hand-off.

What's included in the Free Initial Review?

A 60-minute call walking through your AR aging, recent denials (30-90 days), payer mix, and authorization workflows. We walk through a Power BI methodology preview against industry benchmarks. Output (delivered within 48 hours): a short written diagnosis (PDF, 2-3 pages) with the 3 most-likely patterns we'd address first. If you qualify (5+ of 8 criteria) we offer the Free Diagnostic Preview as next step, your own data analyzed, not a methodology demo.

How do you price?

Full Service RCM is 5% of net collections (flat, no tiering by size). Power BI dashboards included. Founding Client: no floor during your first 90 days, for Cleared's first 5 paying clients. $1,000/month operational minimum starts Day 91 for Founding Clients and Day 1 for clients #6 onward. Diagnostic Preview is FREE for selected applicants (3 selections per month, application-based). Add-ons are project-based or hourly. Pricing transparently published above. No quote-after-discovery games.

Are you HIPAA-compliant?

Yes. We operate as a HIPAA Business Associate and execute a BAA with every client before any PHI changes hands. Encrypted infrastructure (BitLocker, TLS 1.2+, AES-256), MFA mandatory, signed WISP and Incident Response Plan. See our HIPAA page.

Not sure which product fits?

Apply for a Diagnostic Preview to see what your data is hiding, or book a Free Initial Review and we'll tell you what fits. Not a sales script.