Cleruno

You set the rules. We run the desk.

Every case moves from referral to a clean claim with one owner on our side. Routine steps get done and logged. Anything clinical, or outside your rules, comes to the person you name.

Book a workflow review Follow an example case

Follow a case from start to finish.

Pick a specialty and step through it. Each stage shows what comes in, what gets done, what waits for your approval, where problems go, and what your team sees.

Example data

    Stages above the dashed line are what a first engagement would typically cover. Stages below it show how the work extends into billing once the first workflow has proven itself. Nothing here makes clinical decisions, determines medical necessity, or guarantees a payer's decision.

    What stays with you, and what we take on.

    Handing over work shouldn't mean losing sight of it. You decide the scope and the approval rules. We work inside them and record everything we do.

    The workYour practiceUs
    Clinical decisions, treatment choice, medical necessityAlways yoursGather the documentation from the chart for your review
    Scope and approval rulesYou set and change themFollow them and log every action
    Benefits checks, submissions, status follow-upLook in whenever you likeDo the work on a set schedule
    RenewalsSet the lead timeTrack every expiry and open renewals early
    ExceptionsDecide when a decision is neededNamed owner, full context, tracked until resolved
    Coding and claim contentYour coders or billing company, at firstCheck the authorization matches before handoff
    System accessYou grant it and can revoke itUse only what's agreed; every action attributable

    If you own the practice

    Grow treatment and procedure volume without adding a coordinator for every new physician. Work with one accountable party instead of managing the gaps between vendors.

    If you run the office or revenue cycle

    You set the rules, approve the exceptions and see every case without chasing anyone. Fewer open roles to fill and fewer vendors to supervise, so your team's experience goes where it's needed.

    An approval only counts once it reaches the claim.

    Authorization tools usually stop at the approval. Billing companies usually start at the charge. Denials for "no authorization on file" happen in between, when the number, dates or units never made it across.

    The same case record carries the referral, benefits and authorization into billing. Before the claim goes out, we check they match. If a denial still comes back, it's traced to the case it came from.

    You keep your billing company. We hand them clean details through a format you agree on.

    Before billing · V-0412Example data
    1. Authorization numberMatches the chargeMatch
    2. Dates of serviceInside the approved windowMatch
    3. Drug, units and eyeAs approvedMatch
    4. Released to billingWith the clearance file attachedHanded off

    How we'd be measured.

    Many vendors report how much work their software touched. We'd rather be judged on how much of your staff's time a correctly completed case still needs, including approvals, exceptions, rework and time spent checking on us.

    Before anything starts, we measure your current baseline together and report against it every week. We'll only describe results once we've measured them with you.

    Staff minutes spent on the workflowapprovals, exceptions, rework, and checking on us
    Cases completed correctlyright first time, on time, and matched at billing
    • Work moved to someone else doesn't count as saved.
    • Errors and late cases count against us.
    • Our fee is compared with what each case costs you today.

    How an engagement runs.

    No practice-wide migration. One defined piece of work, proven against criteria you agree to, then a decision together about what comes next. Setup and configuration are our job.

    1. Understand the workflow

      Volumes, people, vendors, tools, and where cases stall today.

      About an hour of your time

    2. Agree scope and access

      Case types, payers, approval rules, access, and the baseline we'll be measured against.

      Includes your security review

    3. Run alongside your team

      We work real cases in parallel with your staff before anything goes out unchecked.

      Your team spot-checks

    4. Take over agreed cases

      We own the in-scope case types. Everything else carries on as today.

      You approve exceptions

    5. Report every week

      Staff time per case, accuracy, timeliness, exceptions, rework, and what's still manual.

      A short review together

    6. Expand, or stop cleanly

      Add new authorizations or the billing handoff only if results justify it. If not, every open case comes back with its history.

      Your decision
    Map your workflow with usThe first step is a 45-minute review. Systems and securityHow we'd connect, and how patient data is handled. Questions practices askSoftware or service, billing companies, going live.