ClearCopay

Project Overview

ClearCopay is a real-time insurance verification and patient cost estimation tool built specifically for independent dental practices. It automates the full workflow from eligibility check to patient-printable estimate — so your staff spends time with patients, not on hold.

A real-time eligibility check returns live deductible, coinsurance, copay, and out-of-pocket max directly from the payer in under 10 seconds. ClearCopay then maps the D-code to the practice's own fee schedule and calculates a procedure-specific patient cost — not a range, not a generic estimate. A concrete number, logged and timestamped, ready to hand to the patient before treatment begins.

The Problem

If you manage a dental practice, these aren't edge cases — they're a typical week:

• 20+ minutes on hold just to confirm a patient's deductible before their crown appointment.
• The estimate was wrong — again. Patient expected $300. Bill came to $720. Now they're disputing the charge.
• Prior auth? Nobody told us. Procedure done. Claim submitted. Then the denial: prior authorization required.
• Benefits reset and you didn't know. January rolls around and your team is still quoting last year's deductibles.
• No clear cost for the patient. Patients leave not knowing what they'll owe. The surprise bill drives disputes — and distrust.

Enterprise RCM platforms like Waystar and Athenahealth solve this at the hospital system level for $500–2,000+/month with multi-month implementation timelines. Direct competitors like Aarogram and InstantVOB stop at raw benefit data — they don't perform procedure-specific cost calculation. For a 1–5 provider independent practice, no purpose-built, affordable solution currently exists.

How It Works

From patient check-in to printed estimate — in about a minute.

1. Patient arrives at check-in. Enter the patient's insurance member ID, date of birth, and payer — takes about 30 seconds.
2. ClearCopay checks live coverage. A real-time eligibility check returns deductible, coinsurance, copay, and out-of-pocket max — typically in under 10 seconds.
3. Select the procedure. Choose from your practice's D-code fee schedule. ClearCopay maps the procedure to the patient's specific coverage.
4. Print the estimate. Hand the patient a clear, plain-language cost breakdown before treatment begins. No surprises.

If the procedure requires prior authorization, ClearCopay alerts your team before the appointment is confirmed.

Designed with Industry Standards and Security from the Beginning

Built for HIPAA compliance from day one. Every layer was chosen to minimize operational burden while meeting healthcare data requirements.

Beta Program — Now Accepting Applications

ClearCopay is partnering with a limited number of independent dental practices to shape the product before launch. Beta participants get direct influence on features and workflow, first access to new integrations, and a direct line to the founding team.

Photos by DC Studio