For neurology practices with an infusion suite

Keep every infusion inside a valid authorization.

Running infusions in-house is the right call for your patients and your practice. It also makes you the one holding every renewal clock, site-of-care rule and dose count. We take that desk off your team, and your clinicians keep the sign-off.

Book a workflow review See why renewals lapse

Early access: we're taking on our first practices now.

What we take on for an infusion practice.

A single infusion visit can be worth more than a month of front-desk payroll. When the approval behind it has lapsed, the visit either waits or goes to appeal. Our desk exists so that doesn't happen.

  • Renewals opened early, every timeEach authorization's expiry sits on our calendar with the lead time you set. The renewal packet is assembled from the chart and sent to the prescribing neurologist for sign-off before it goes anywhere.
  • Dose counts against approvalsDoses used versus doses approved, per patient, per drug. When a schedule would run past the approved window, a renewal opens early.
  • Site-of-care rules checked firstWhere a payer prefers a different site of care, you hear before scheduling, with the policy attached. Whether to request an exception stays your decision.
  • Benefits re-verified before each cycleMedical benefit, plan changes and specialty-pharmacy requirements, so a quiet plan change doesn't become a surprise at billing.
  • Approvals matched to the claimDrug, units, administration dates and the authorization number are checked against the charge before the claim goes out, and any authorization denial is traced to its case.
  • New authorizations and diagnosticsOnce renewals are running, imaging and new-therapy authorizations can join the same desk.

Why a renewal lapses, in one picture.

Move the two sliders. An approval covers 180 days; infusions run every four weeks. The gap depends on how early the renewal goes in and how long the payer takes.

We open renewals at the lead time you set, typically 30 to 45 days.
Example only. Payers vary, and some take longer than their stated timelines.

Illustrative timeline with synthetic dates. It doesn't predict any payer's decision.

What the desk costs you today.

Put in your own numbers. The estimate is yours to keep whether or not we talk.

Checking, assembling, submitting, following up and recording. Published figures run from about 11 to 16 minutes for a single electronic or portal submission (CAQH) to a median of 100 minutes per anti-VEGF request, including follow-up, in one retina study.
Hourly wage plus benefits, payroll taxes and overhead, usually about 1.3 times the wage.
Staff time a month
What it costs you today
·

Cleruno, at our published prices
Difference

Estimates use your inputs and our published prices at a typical mix of three renewals to one new authorization. They don't include denials, rework or the cost of a lapsed treatment. A final price is set in writing after the review. See pricing.

If you already run an offshore team, we fit alongside it.

Many lean neurology practices run authorization work through remote staff. It keeps costs down, and it leaves someone in your office supervising every day. We'd take over the desk for the case types you choose, with one owner on our side, so the supervision goes away and the headcount decision stays yours.

If a tool you tried sat unused, that's usually because it still needed your staff to run it. That's the difference we're built on: completed work, not another login.

Your clinicians decide

Treatment choice, medical necessity, site-of-care exceptions and every submission's sign-off are theirs. We assemble, submit, follow up and record.

Your EMR stays

Switching systems? We assess the connection in discovery and work in whatever you land on, with as few new logins for your staff as we can manage.

Your billing company stays

They get the authorization number, dates and units with the charge, in a format you both agree on.