We are the leader in financial and disbursement management software for healthcare insurers


ClearCycle Universal Claims Disbursement System (UCDS) Delivers 521% Return On Investment for Leading Healthcare insurer.

      - Forrester Consulting

Value Proposition

ClearCycle offers a comprehensive solution for handling every aspect of claims payment output, post output processing and lookup. It universally supports all types of claims processing systems and handles non-claims payment streams. By using the functionality in ClearCycle's software, some of our clients have achieved the following:

  • ROI Savings -  " Up to 521% Return on Investment"
  • Initial Investment Pay-Back - " System Pay-Back in less than 6 months"
  • Operational Cost Savings - " Millions of Dollars Saved Annually"
  • Cost Reductions - " Reduced Print Fullfillment costs by 35%"
  • Operational Efficiencies - " Consolidated 5 data sources into one workstream"
  • Regulatory Compliance - " Automatically administers Audit and State and Federal regulations"

Prepayment Processing

  • Payment Scheduling
  • Forecasting
  • Prompt Pay Support
  • Self-funded Client Credit Control
  • ACH solution

Payment Processing

  • Reduce payment costs
  • Optimize cash flow
  • Increase management control
  • Transaction Combining – health insurance claims, pharmacy, and vendor payments
  • Unlimited Bank Accounts
  • Operation Effectiveness
  • Print Output Formatting
  • Electronic Payments & Data
  • Overpayment Recoveries (with 50 state regulatory compliance)
  • Self-funded Client Billing (ASO, IF, Cost+, etc.)
  • Client Banking
  • Regulatory Compliance
  • MLR Rebate functionality
  • Capitation payments
  • Premium refunds
  • Incentive payments
  • Broker commissions
  • Unearned premium returns
  • Merchandise vendor payments
  • G&A payments
  • Payroll
  • Interest underpayments
  • Cost Plus Billing
  • 835 Solution
  • FEP Claims

Post-Payment

  • Data Searches
  • Online cash receipt (returned payments) Suspense
  • Voids/Stops
  • Full/Partial Reissues
  • AR/CR Statements and Adjustments (provider receivables/payables)
  • Informational
  • Excellent financial reporting capabilities

For more information, click here to see Success Stories.