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Missing Criteria
Many delays happen because labs, clinical notes, prior therapy, or payer-specific evidence are incomplete.
Coverage Intelligence Platform
Clarity Before Submission.
Clariq Health helps teams predict approval likelihood, validate authorization readiness, and resolve missing criteria before a submission becomes a delay.
Clariq Confidence™Approval likelihood
Readiness AnalyzerMissing criteria
Coverage LogicPayer intelligence
Live authorization preview82
82Confidence
Approval LikelihoodModerate → High after fixes
Improvement Opportunity2 requirements missing
Next-Best ActionUpload IgG lab report
Why this matters
Prior authorization should not be a guessing game.
Teams lose time after submission because missing requirements are discovered too late. Clariq moves the intelligence before submission, where it can actually change the outcome.
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No Visibility
Teams submit without knowing whether a case is truly ready or likely to be approved.
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Post-Submission Rework
Back-and-forth with payers creates delays, manual follow-up, and avoidable operational friction.
✓
Pre-Submission Clarity
Clariq identifies what to fix before the request leaves the organization.
What Clariq does
Approval likelihood, readiness validation, and next-best actions in one workflow.
82
Predicts Approval Likelihood
Uses structured payer logic and case completeness to communicate Clariq Confidence™.
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Identifies Missing Criteria
Flags gaps in documents, labs, diagnosis support, and payer-specific requirements.
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Recommends Next Actions
Shows the operational step that can improve the case before submission.
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Improves Submission Quality
Creates cleaner submissions and reduces avoidable payer back-and-forth.
Who this is for
Prior authorization touches nearly every corner of healthcare.
Clariq is designed as a decision layer for organizations that need clearer coverage and authorization readiness before submission.
H
Hospitals
Support complex authorization workflows across departments and service lines.
IV
Infusion Centers
Improve readiness for specialty therapies and site-of-care requirements.
OP
Outpatient Clinics
Reduce manual rework before submissions are sent to payers.
Rx
Specialty Pharmacies
Connect benefits, payer rules, clinical evidence, and documentation readiness.
PA
Patient Access Teams
Give advocates clear guidance on what is ready and what still needs attention.
M
Manufacturers
Understand coverage friction, common criteria gaps, and access barriers.
$
Revenue Cycle Teams
Reduce delays caused by incomplete authorization preparation.
MD
Provider Offices
Support staff with clearer payer expectations before paperwork is sent.
Expected impact
Make the ROI visible before the product is even live.
Clariq is positioned to reduce prior authorization delays, improve first-pass quality, and create measurable operational visibility across teams.
Prior Auth Delays↓
First-Pass Approval↑
Payer Back-and-Forth↓
Operational Efficiency↑
Where Clariq fits
A decision layer before prior authorization submission.
Clariq is not meant to replace EHR, pharmacy, payer, or intake systems. It sits before submission as the intelligence layer that validates readiness and guides action.
1
Existing systems
EHR, pharmacy, benefit verification, intake, and payer policy sources remain in place.
2
Clariq decision layer
Coverage logic, documentation readiness, criteria gaps, and approval likelihood are evaluated.
3
Improved submission
Teams act on clear next steps before sending the authorization request.
Four product layers
A pre-submission decision system, not just another authorization tracker.
Clariq combines coverage logic, readiness validation, approval likelihood, and analytics into one clear workflow.
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Coverage Intelligence
Structures payer, plan, therapy, diagnosis, and clinical criteria into a searchable logic layer.
✓
Readiness Analyzer
Compares evidence and documents against requirements before authorization submission.
82
Clariq Confidence™
Turns case completeness into approval likelihood with clear recommendations.
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Analytics Layer
Surfaces payer trends, missing criteria patterns, and operational opportunities over time.
How it works
From blind submission to confident action.
Clariq turns fragmented requirements into a guided workflow that shows what is ready, what is missing, and what to do next.
1
Select therapy + payer
Match drug, plan, diagnosis, and coverage pathway.
2
Analyze readiness
Compare clinical evidence and documents against requirements.
3
Improve confidence
Resolve missing items before submission.
4
Track performance
Learn from trends across payer, therapy, and criteria gaps.
Product demo
The complete authorization readiness workspace.
Switch between realistic cases, review coverage details, and see Clariq Confidence™ update with loading states and recommended actions.
Authorization Readiness
IVIG / BCBS IL PPO
Clariq Confidence™82
Approval Likelihood: ModerateAnalyzing coverage criteria, documents, and readiness…
TherapyIVIG
PayerBCBS IL
StatusNeeds Review
Recommended Actions
Signature identity
The visual system behind Clariq Health.
Confidence rings, node logic, and flow patterns create a recognizable product language around clarity, movement, and decision intelligence.
82
Confidence Ring
The primary motif for Clariq Confidence™ and approval likelihood.
Node Logic
Represents payer rules, clinical criteria, and decision outputs connecting into one answer.
Flow Pattern
Signals data movement, intelligence processing, and clarity emerging from complexity.
Analytics layer
Insights that compound over time.
Clariq’s value grows as teams learn which payers, therapies, and criteria most often delay approval.
Average Confidence82%
Criteria Complete74%
Docs Complete68%
Ready to Submit41%
Clarity Before Submission
Turn coverage complexity into confident authorization decisions.
Clariq Health brings approval likelihood, readiness validation, payer intelligence, and next-best actions into one enterprise workflow.
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