Company Update
Clarify expands its Board of Advisors
Clarify expands its Board of Advisors with leaders across healthcare, employer benefits, and technology.
Meet Our Advisors
August 2026
We verifyevery medical claim.You pay only what you owe.
Clarify AI helps self-insured employers identify, investigate, validate and resolve costly medical billing discrepancies.
The Problem
1 in 4 medical bills are wrong.
The U.S. healthcare payment system is extraordinarily complex. Pricing failure, administrative complexity, improper payments, and billing discrepancies create enormous financial waste — and make it difficult to know whether every bill is right.
The Employer Reality
80%
of covered workers at firms with 200 or more employees are enrolled in self-insured health plans.
For self-insured employers, healthcare claims are paid directly from the plan’s own funds.
Source: KFF, 2025 Employer Health Benefits Survey
HIGH-COST CLAIM EXPOSURE
$1M+ CLAIMS
49%
Self-insured plan sponsors reporting at least one claim exceeding $1 million.
Aegis Risk, 2025 Medical Stop-Loss Premium Survey
HIGH-COST CLAIMS
AFFORDABILITY PRESSURE
75%
Employers identifying high-cost claims as a significant threat to healthcare affordability.
National Alliance of Healthcare Purchaser Coalitions, Pulse of the Purchaser 2026
CLAIMS DATA ACCESS
EMPLOYER VISIBILITY
1 IN 3
Employers that still can't get complete claims data.
National Alliance of Healthcare Purchaser Coalitions, Pulse of the Purchaser 2025
Sources: KFF, 2025 Employer Health Benefits Survey · Aegis Risk, 2025 Medical Stop-Loss Premium Survey · National Alliance of Healthcare Purchaser Coalitions, Pulse of the Purchaser 2025 & 2026
The Impact
The consequences affect your bottom line.
One bill, examined line by line. What Clarify finds changes the outcome for the employer funding the plan and the employee covered by it.
Self-Insured Employer
Stop questionable spend before you pay it.
Clarify identifies questionable charges before payment and provides the evidence and next steps needed to resolve them.
Employee Impact
Greater clarity in what employees actually owe.
Billing discrepancies can increase plan spend and create incorrect or confusing balances for employees. Clarify investigates questionable charges before they flow downstream.
One Medical Bill
$48,000
Originally billed
- Patient
- Brett Smith
- Provider
- Apex Medical Partners
- Date of service
- Feb 28, 2026
- Allowed amount
- $38,400
- CPT 20912Cartilage graft, nasal septum$4,500→$475
Rate discrepancy$4,025 potential savings· Disputed · waiting on Provider
- CPT 30140SMR turbinate$4,500
Duplicate charge$4,500 potential savings· Clarified
- CPT 30400Rhinoplasty$1,075
Medical necessity$1,075 potential savings· Under review · waiting on TPA
$9,600
$4,500 Actualized
$5,100 Still in progress
Potential savings identified
3 discrepancies surfaced
The system was built to process payments.
Clarify was built to question the bill.
Clarify Intelligence
From detection to resolution.
Clarify brings together purpose-built intelligence across the billing lifecycle — detecting potential errors, validating the evidence, coordinating resolution, and learning from confirmed outcomes.
Explore Clarify- Detect
AI-Powered Bill Analysis
Reviews medical bills before payment using deterministic, rule-based AI/ML to identify potential errors.
Comprehensive Error Detection
Identifies billing issues including duplicate charges, coding discrepancies and missing authorizations.
- Notify
Multi-Party Notifications & Reports
Provides employees, employers, providers and payers with clear information about identified discrepancies and next steps.
- Resolve
Dispute Resolution
Supports the documentation, communication and workflows needed to resolve confirmed discrepancies.
Employer / Carrier Negotiation Support
Turns claim-level findings into visibility that can support broader plan and carrier discussions.
For Self-Insured Employers
From individual claims to plan-wide intelligence.
Clarify investigates questionable charges at the claim level, then connects those findings across the plan to reveal savings, patterns and opportunities for employers.
Research & Evidence
Grounded in primary research and clinical evidence.
Clarify draws on published health policy research, peer-reviewed clinical evidence, and established medical billing and compliance standards to support transparent, evidence-backed discrepancy detection.
Explore the Research LibraryHealthcare-Specific Intelligence
Clinical Validation
Explainable Findings
Human Oversight
Featured Event
Clarify AI at SIIA 2026
OCT 11–13PHOENIX, AZ
Clarify AI will be at the SIIA National Conference, connecting with leaders across the self-insured healthcare ecosystem and discussing how better claims intelligence can help employers identify costly billing discrepancies before payment.
Latest from Clarify
What's happening at Clarify
Company News
Clarify AI joins SIIA
Clarify has joined the Self-Insurance Institute of America, connecting with the national community serving self-insured employers and their partners.
August 2026
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Team & Mission
Meet the people building Clarify.
Clarify AI brings together leaders with experience across clinical care, employer benefits, payer strategy, AI infrastructure and company building.
Meet the TeamCareers
Help us fix medical billing.
We're building a team to tackle one of healthcare's most persistent problems — uncovering costly billing errors and making medical billing more accurate, transparent and fair.
Explore CareersBring clarity to every healthcare dollar.
See how Clarify AI helps self-insured employers identify costly medical billing errors before claims are paid.