Clientele's urgent care intelligence platform validates E/M levels, procedure coding, workers' compensation claims, and occupational medicine billing in real time so every walk-in visit reaches the payer clean, the same day it happens.
Eight visit types feed into a single revenue outcome.
E/M level selection depends on complexity and time documented.
Employer billing runs alongside standard payer claims.
Claims require jurisdiction-specific forms and employer authorization.
Professional and technical components bill differently by location.
CLIA-waived and send-out tests carry different coding paths.
Laceration repair, splinting, and I&D codes depend on precise documentation.
Employer-mandated and clinical drug screens bill under different codes.
Administration and vaccine codes must pair correctly by payer.
Seven modules validate every claim before it ever reaches a payer.
Confirms E/M level matches documented complexity and time.
Matches laceration, splinting, and I&D codes to documentation.
Flags missing or mismatched modifiers before submission.
Applies state-specific workers' comp forms and authorization logic.
Routes employer-billed visits to the correct payer automatically.
Confirms documentation supports every code billed.
Runs a final payer-specific check before a claim ever leaves.
142 walk-in visits tracked across every location today.
Tracks door-to-provider time in real time.
Shows charts awaiting same-day coding review.
Displays claims staged for submission today.
Confirms real-time benefits checks across every visit.
Surfaces denials with root cause before resubmission.
Tracks same-day and aged collections by location.
Projects reimbursement across visit types and payers.
Captures visit type, complexity, and payer at check-in.
Cross-checks chart documentation against billed complexity in real time.
Surfaces the correct E/M and procedure code set.
Confirms modifiers match payer-specific same-day billing rules.
Runs a final payer-specific check before a claim ever leaves the building.
Flags high-risk claims before submission.
Identifies underpaid claims and coding opportunities across your payer mix.
Select a service to see how Clientele handles its billing workflow.
E/M level selection and same-day documentation validated through to claims and revenue.
"Our same-day claim rate finally matches our same-day care model. Clientele keeps up with our volume."
"Workers' comp used to be a black hole. Now we can see exactly where every claim stands."
"E/M leveling errors dropped almost overnight. Our coders finally have a second set of eyes."
Our engine reviews charts as they close, applying E/M and procedure logic in real time so same-day claims go out clean without slowing down your front desk.
Yes. Clientele applies jurisdiction-specific forms and employer authorization logic so workers' comp claims follow their own compliant path.
Clientele checks that the billed E/M level matches documented complexity and time before the claim is submitted.
It routes employer-directed visits to the correct payer and applies occupational-specific coding rules automatically.
No. Clientele's AI layer works alongside your coders, validating claims and surfacing issues before submission.
Most urgent care groups are fully live within 2 to 4 weeks, including payer and EHR configuration.
See how Clientele's urgent care intelligence platform validates E/M levels, procedure coding, and workers' compensation claims before they ever reach the payer.
