You care for patients. We handle the work behind it.
Cleruno is a managed authorization desk for independent specialty practices. We check benefits, submit and renew prior authorizations, and make sure every approval reaches the claim. Your clinicians approve what needs judgment. We do the chasing.
Early access: we're taking on our first practice engagements now. Examples on this site use made-up data.
Your practice doesn't need another portal. It needs someone to own the work.
We do the work. You approve.
Benefits checks, submissions, renewals and follow-up are done for you, not handed back as alerts. Clinical sign-off stays with your clinicians.
02Accountable through to the claim.
An approval only counts once it reaches billing. We check the authorization matches before the claim goes out.
03Paid per completed case.
No seats or software fees. We're measured on how little of your team's time each case takes.
Authorizations have quietly become a full-time job.
In specialty practices, much of that time goes to renewals that payers almost always approve. That's work that shouldn't need your best people.
40
prior authorizations per physician, every week1
About 13 hours of physician and staff time a week. AMA survey of 1,000 physicians, May 2026.
100 min
median staff time per anti-VEGF authorization2
Nearly two-thirds were renewals, and almost none of those were denied. Nine retina practices, 2022.
Renewals are where we start: frequent, rule-bound, and costly when they lapse.
A missed renewal means a postponed dose or a claim that won't pay. See a renewal case, step by step ↗
Not sure where you'd start? Answer three questions.
You'll get a suggested first workflow and what we'd measure it on. It's a starting point for the review, not a quote.
- At your volume
- Working with your current setup
- What we'd measure
Built around how your specialty actually runs.
The paperwork is different in every specialty. We start where the work is most repetitive for yours.
- Payer criteria checkedEach item linked to the visit noteDone
- Coverage re-verifiedNo plan change since last approvalDone
- Packet ready for sign-offPrescribing clinician reviewsYour turn
Example data. No real patient or payer.
- NeurologyInfusion renewals, site-of-care rules, dose counts
- RheumatologyBiologic benefits checks, step therapy and renewals
- RetinaInjection counts, step therapy and buy-and-bill matching
- GastroenterologyReferral records, endoscopy clearance, IBD biologics
- Orthopedics & spineImaging and surgery authorizations, workers' comp
How it compares to what you use today.
Most practices patch authorizations together from software, a billing company, extra staff, or all three. Each one leaves a gap someone on your team has to fill.
| Option | Who does the work | Who tracks renewals | Who connects approval to billing | What you supervise | How you pay |
|---|---|---|---|---|---|
| Authorization software | Your staff, with better tools | Your staff, with alerts | Usually your staff | The people using it | Subscription, sometimes free |
| Billing company | Their team, from the charge onward | Usually your front office | Split between you | The handoff | Share of collections |
| Offshore assistants | People you direct | Whoever you assign | Your team | The assistants, daily | Hourly |
| An in-house coordinator | Your hire | Your hire | Your hire | Hiring, cover and turnover | Salary and benefits |
| ClerunoManaged authorization desk | Us, with your sign-off on anything clinical | Us, against every expiry date | Us, before the claim goes out | Only the exceptions you choose to see | Per completed case |
A general comparison of common approaches. Individual vendors and arrangements vary.
Start with one workflow.
No migration and no new system for your staff. We take on one defined piece of work, prove it against numbers you agree to, and expand only if it's earned.
Sources
- American Medical Association, 2025 Prior Authorization Physician Survey (1,000 practicing physicians), published May 18, 2026. ama-assn.org
- Time-and-motion study of 2,225 anti-VEGF prior authorization requests at nine retina practices, January–June 2022, JAMA Ophthalmology, June 27, 2024. Summary: ajmc.com