High-performance RCM engineered for the complexities of biologics. Eliminate authorization leaks, automate NDC mapping, and capture every dollar of infusion revenue.
Precision coding and authorization logic for the full spectrum of rheumatologic conditions.
Anti-TNF & IL-6 Pathways
IL-17 & IL-23 Logic
B-Cell Therapy Rules
Jak Inhibitor Tracking
Urate Lowering Logic
Bone Health Coding
Our end-to-end intelligence engine handles everything from the initial patient evaluation to final bank deposit.
Real-time insurance discovery and deductible verification for expensive biologics.
AI-driven auth submission with specialty-specific documentation attachment.
Seamless NDC and HCPCS mapping aligned with current payer fee schedules.
98.5% first-pass clean claim rate powered by Rheumatology logic rules.
Advanced analytics and variance reporting to identify payer underpayments.
The core processor designed to navigate the multi-layered coding environment of Rheumatology.
Compliance Score
Specialty Benchmark: 82.0
Live command for multi-site practice administration.
Inflectra®
10:00 AM · Room 4
Stelara®
11:30 AM · Room 2
Orencia®
01:15 PM · Room 6
Active Authorizations In Progress
9
Expiring 48h
54
Submitted
Projected Monthly (Biologics)
$1,248,500
Analyzing 15M+ Patient Data Points Hourly
Clientele AI doesn't just process claims; it anticipates hurdles. Our neural engine predicts authorization denials before they happen and automatically suggests documentation adjustments based on real-time payer policy shifts.
Instant updates to 5,000+ payer biologic policies.
Compare your utilization and margin against regional peers.
Quantifiable results that transform Rheumatology practice health.
Documentation Accuracy
Auth Success Rate
Revenue Capture Lift
Claim Adjudication
"Clientele RCM fundamentally changed our biologic margin. Their automation of the authorization workflow removed the single biggest bottleneck in our infusion center operations."
Chief Financial Officer
Multi-State Rheumatology Group
"The level of specialty knowledge here is unmatched. They understand the difference between RA and Lupus coding protocols, which meant an immediate drop in our denial rates."
Practice Administrator
Arthritis & Rheumatology Center
"Finally, a software-first approach to revenue cycle. The real-time visibility into our infusion pipeline is something we never thought possible."
Managing Partner
Southeastern Specialty Group
Join the leading rheumatology practices nationwide who have transitioned to the intelligent revenue cycle.
