ClearPathPayer
End-to-End Platform

Credentialing as a tracked operation, not a spreadsheet.

Follow a clinician from signed offer letter to first paid claim. ClearPath Payer orchestrates the entire multi-payer lifecycle with complete transparency.

The 34-Day Timeline

The ClearPath Payer Provider Onboarding Journey

How ClearPath Payer compresses standard 90–120 day commercial enrollment into an accelerated 34-day operational sprint.

Day 0

Offer Letter Executed

Workday/HRIS webhook triggers automatic ClearPath Payer digital intake link sent directly to newly hired clinician.

Day 2

10-Point PSV Verification

NPI, state medical board, DEA registry, and ABMS board certificates verified via direct API with zero manual paperwork.

Day 5

CAQH Attestation & Packet Generation

CAQH ProView profile built and attested; CMS-855I (PECOS) and commercial payer packets generated simultaneously.

Day 12

Payer Review & Committee Docket

Automated status bots poll Availity and payer portals daily; alerts trigger if committee docket slots are assigned.

Day 34

Payer Approval & Billing Authorization

Contract effective date logged in EHR/Athena/Epic; clinician begins seeing in-network patients on their first scheduled day.

Platform Architecture

Four integrated modules designed to eliminate credentialing lag

1. Credentialing & PSV Engine

Automates Primary Source Verification against state medical boards, the DEA registry, OIG/SAM exclusion lists, and NPDB data banks. Eliminates 85% of downstream rejections.

Deep Dive into PSV Engine →

2. Multi-Payer Enrollment

Single-record fanning across Medicare PECOS (CMS-855I/R), commercial health plans, and state Medicaid MCOs. Handles group TIN reassignments and multi-state telehealth.

Deep Dive into Payer Enrollment →

3. Committee Status Radar

Unlocks the black-box of payer committee review. Tracks review committee cycles as a discrete stage, alerting your operations team before delays become deferred revenue.

Deep Dive into Status Radar →

4. Re-credentialing & Expirables Guard

120-day CAQH re-attestation countdown bots, malpractice COI tracking, and 2-to-3 year payer re-credentialing calendars prevent preventable claim denial waves.

Deep Dive into Re-credentialing →
Transparent Boundaries & Scope

What ClearPath Payer Does Not Do

ClearPath Payer is designed for operational and revenue cycle excellence. We believe honest boundaries build trust with clinical and compliance leadership.

Does Not Grant Clinical Privileges:Hospital medical staff bylaws and clinical privilege granting remain the exclusive authority of your Medical Executive Committee (MEC).
Does Not Guarantee Payer Approval:While we eliminate submission errors, health plans retain discretionary authority over their network adequacy and panel status.
Does Not Replace Legal Counsel:ClearPath Payer provides software automation and administrative CVO services; we do not provide legal advice regarding practice structures or corporate medicine.
Does Not Practice Medicine:Our systems verify credentials, licenses, and educational credentials; peer review evaluation of clinical competence is managed by your clinical leadership.
Zero Long-Term Contract · Full BAA Provided

Experience the ClearPath Payer Platform in Action

Schedule a 20-minute product tour or explore our client-side interactive simulator.

Free Pipeline Audit (Send us your roster) Setup in < 24 Hours SOC 2 Type II & HIPAA Certified