Accelerating Patient Access.
Protecting Revenue.
Explore ClearPath's complete solution for prior authorization, drug access, and revenue cycle optimization — purpose-built for specialty clinics.
ClearPath Health
Accelerating Patient Access. Protecting Revenue.
A complete hub for prior authorization, drug access, and revenue cycle optimization — purpose-built for specialty clinics.
Specialty Clinics Are Leaving Revenue on the Table — Invisibly.
Complex medication journeys create silent financial and operational drag.
Average prior auth delay for specialty drugs
Of specialty Rx are abandoned before first fill
Average revenue lost per abandoned patient annually
Of claims denied — most preventably
Most clinics manage this reactively — ClearPath makes it proactive.
A $47B Market in Urgent Need of Automation
Specialty drug spend is surging — but the infrastructure to manage it hasn't kept pace.
Specialty pharmacy market growing 12% YoY
Of specialty clinics report PA as their #1 administrative burden
ROI demonstrated by clinics using structured medication access workflows
As payer restrictions intensify and specialty drug pipelines expand, the operational burden on clinic staff is unsustainable — creating an urgent opening for purpose-built solutions like ClearPath.
One Platform. Every Step of the Medication Journey.
ClearPath integrates five mission-critical capabilities into a single, clinic-embedded workflow.
Prior Auth Acceleration
Automated PA initiation, tracking, and escalation in real time.
Drug Abandonment Prevention
Identify at-risk patients before they disengage.
Drug Start Optimization
Streamline new-start workflows from prescription to first dose.
Financial Navigation
Connect patients to copay assistance, grants, and free drug programs.
Denial Prevention & Recovery
Catch denial patterns early; automate appeals workflows.
Seamless EHR Integration
Embeds directly into your existing clinical workflow.
From PA Submission to Approval in Days — Not Weeks.
ClearPath automates every stage of the prior authorization lifecycle.
Eligibility & Criteria Check
PA criteria validated against payer rules at point of prescribing.
Auto-Submission
PA request generated and submitted electronically with zero manual data entry.
Real-Time Tracking
Live payer status updates pushed to clinic dashboard and EHR.
Escalation Triggers
Automated alerts for pending decisions approaching deadlines.
Approval & Handoff
Approval confirmed, patient notified, pharmacy handoff initiated automatically.
Eligibility & Criteria Check
PA criteria validated against payer rules at point of prescribing.
Auto-Submission
PA request generated and submitted electronically with zero manual data entry.
Real-Time Tracking
Live payer status updates pushed to clinic dashboard and EHR.
Escalation Triggers
Automated alerts for pending decisions approaching deadlines.
Approval & Handoff
Approval confirmed, patient notified, pharmacy handoff initiated automatically.
Reduction in PA Processing Time
First-Pass Approval Rate
Stop Abandonment Before It Happens.
ClearPath shifts your team from reactive outreach to predictive intervention.
Without ClearPath
- ✗ Patients go silent after prescribing
- ✗ Staff learn of abandonment weeks later
- ✗ Revenue impact realized too late
- ✗ No systematic follow-up protocol
- ✗ High re-engagement cost per patient
With ClearPath
- ✓ Risk-scoring flags abandonment-prone patients at Rx stage
- ✓ Automated touchpoints at days 3, 7, and 14
- ✓ Financial barriers identified and resolved proactively
- ✓ Staff receives actionable task queue, not raw data
- ✓ Abandonment rate reduced by up to 35%
ClearPath clients recover an average of $2,100 in revenue per at-risk patient intervention.
Eliminate the Gaps Between Prescription and First Dose.
Every day of delay is a day of missed adherence — and missed revenue.
1. Prescribing Decision
ClearPath pre-screens coverage and PA requirements in real time at the point of care.
2. Benefit Verification
Instant insurance check; out-of-pocket costs surfaced before patient leaves the office.
3. Enrollment & Access
Patient auto-enrolled in applicable copay assistance or patient support programs.
4. Pharmacy Coordination
Specialty pharmacy selected, order sent, and delivery confirmed — all from one screen.
5. First Fill Confirmation
Clinic receives first-fill confirmation alert; adherence monitoring begins.
Average time-to-first-fill reduced from 21 days to 6 days.
Remove the Cost Barrier. Keep Patients on Therapy.
ClearPath connects every patient to every available source of financial support — automatically.
Manufacturer Copay Assistance
Real-time eligibility check for brand copay cards, applied at point of Rx.
Foundation & Grant Matching
AI-matched to 400+ patient assistance foundations by diagnosis and income.
Free Drug Programs
PAP enrollment automated for qualifying uninsured or underinsured patients.
Out-of-Pocket Forecasting
Patients see their true annual cost before therapy begins — reducing shock abandonment.
Case Manager Integration
Financial navigation cases escalated to dedicated support specialists when needed.
On average, ClearPath reduces patient out-of-pocket cost by 61% per specialty Rx fill.
Win the Denial Battle Before It Starts.
ClearPath prevents most denials from occurring — and automates recovery when they do.
Of denials are preventable with upfront documentation workflows
Faster appeal turnaround vs. manual processes
Appeal overturn rate for ClearPath-managed cases
Average time to first appeal response via ClearPath
Embedded in Your Workflow. Invisible to Your Patients.
ClearPath layers on top of your EHR without disrupting how your team works today.
1. Integrate
ClearPath connects to your EHR via HL7/FHIR in under 2 weeks. No hardware. No workflow overhaul.
2. Automate
PA submissions, benefit checks, and patient outreach run automatically. Staff sees only what needs human attention.
3. Navigate
Patients receive proactive financial and access support. Barriers are resolved before they cause drop-off.
4. Optimize
Live dashboards surface PA win rates, abandonment trends, and revenue recovered.
Go-live in 14 days. Dedicated implementation manager assigned day one.
Real Results: Regional Rheumatology Practice — 12 Providers
"We recovered $1.4M in first-year revenue we didn't even know we were losing. ClearPath paid for itself in 90 days."
— Practice Administrator, Southeast Rheumatology Group (ClearPath Client since 2024)
Revenue Recovered in Year 1
Reduction in Drug Abandonment Rate
Saved Per Patient in Time-to-Therapy
12-provider rheumatology group | 3,800 specialty Rx per year | Deployed in 11 days
Transparent, Outcome-Based Pricing.
Choose the model that fits your practice size and risk appetite.
Platform
per location
- Full PA automation suite
- Benefit verification & financial nav
- EHR integration
- Reporting dashboard
- Up to 500 Rx transactions/month
Best for: Practices with 1–5 providers
Performance
Most Popularoutcome-based
- Everything in Platform
- Denial prevention & appeal automation
- Dedicated account manager
- Unlimited Rx transactions
- Quarterly business reviews
Best for: Practices with 6+ providers
All plans include onboarding, training, and 90-day success guarantee. No long-term contracts required.
Average client ROI: 4.7x in Year 1.
Built Differently. Proven in Practice.
ClearPath is the only platform that unifies every step of the specialty medication access journey under one roof.
End-to-End Coverage
PA, financial nav, abandonment, denials — all in one platform, not patchwork point solutions.
Speed to Value
Average go-live in 14 days; most clients see measurable ROI within 90 days.
Payer Intelligence Engine
Real-time payer rule database updated daily across 900+ commercial and government plans.
Clinic-First Design
Built with specialty clinic staff — intuitive, fast, low training burden.
Outcome Accountability
Performance pricing available; we win when you win.
HIPAA-Compliant & SOC 2 Certified
Enterprise-grade security with full audit trail.
Your Patients Deserve a Clearer Path.
Let us show you exactly what ClearPath can recover for your practice — in 30 minutes.
Schedule a 30-Min Discovery Call
We'll map your current PA and abandonment pain points.
Receive Your Custom ROI Estimate
A tailored analysis of your recoverable revenue in 48 hours.
Go Live in 14 Days
Dedicated implementation support from day one.
Website: clearpathhealthbpo.com
Email: franklint@clearpathhealthbpo.com
Phone: (312) 857-5088