MD Clarity

Who MD Clarity is best for

MD Clarity is a Seattle-based software company. Its tools compare remittances with your payer contracts to find money you are owed and help collect patient balances upfront. It is not Clarity RCM, a separate outsourced billing service for dermatology practices.

Best for

• Specialty practices with many commercial contracts, such as orthopedics, radiology and ophthalmology
• Groups that suspect underpayments but cannot audit remits by hand
• Practices that need Good Faith Estimates and upfront deposits for self-pay patients

Not ideal for

• Practices looking for a billing system, clearinghouse or outsourced billing team
• Small primary care practices billing mostly Medicare and Medicaid fee schedules
• Buyers who need published, self-serve pricing

MD Clarity pros and cons

Pros

• Focuses on recovering revenue already earned, comparing each remittance with the contracted rate
• PayerMonitor uses AI to pull key terms out of payer contracts and shows changes between contract versions
• Clarity Flow sends Good Faith Estimates by email, text or letter and lets patients pay deposits or choose payment plans from the estimate
• Pricing is not per user, so the whole billing team can work in it
• Underpayment and denial recovery can be added as a staffed service

Cons

• Not an end-to-end RCM platform; you still need billing software and a clearinghouse
• Patient estimates are only as accurate as the contracts and payer rules loaded, so check coverage of the payers in your state
• Value depends on loading accurate contracts and fee schedules, which takes staff time during setup
• No public pricing

MD Clarity pricing

As of 2026, MD Clarity does not publish prices. Its pricing page says quotes are customized to the workflows you need, products can be bought à la carte, pricing is not based on number of users, and the subscription is annual with monthly billing. Setup fees and cancellation terms are not published. Expect the quote to depend on the modules you choose, claim volume and number of providers and locations. Recovery services are quoted separately.

Key features

• RevFind: compares 837 claims and 835 remittances with expected allowables from your contracts, flags underpayments and denials, labels root causes and routes claims to staff worklists. The RevFind Agent, part of an agentic AI expansion of RevFind the vendor announced on September 30, 2026, answers plain-English questions about payer trends and flags anomalies
• PayerMonitor: payer contract repository with AI term extraction and version comparison
• Clarity Flow: patient cost estimates, Good Faith Estimates, upfront deposits and payment plans
• Underpayment Recovery and Denial Recovery: managed services where MD Clarity staff work the recoveries

HIPAA, security and integrations

MD Clarity displays a HIPAA compliant badge and a SOC report seal on its website but does not publish the SOC report type, audit scope or BAA terms; ask for its SOC 2 report and business associate agreement during evaluation. Its integrations page lists HL7, HL7 FHIR, X12 EDI 835/837, flat file transfer and direct connections to reporting servers or data warehouses. The vendor publishes integration pages for Epic, Oracle Cerner, athenahealth, eClinicalWorks, NextGen, ModMed, Nextech, Greenway Health, Veradigm, MEDITECH and MedInformatix.

MD Clarity alternatives

• Rivet Health — the closest match, covering payer contracts, underpayments and patient estimates.
• Waystar — a claims and payments platform with a clearinghouse, if you want one vendor for submission plus analytics.
• Candid Health — automated claims processing for groups that want to replace their billing engine rather than add analytics on top.
• R1 RCM — outsourced revenue cycle management for large groups that would rather hand off billing entirely.
• Aptarro — rules-based claim checks that prevent denials before submission, rather than recovering payments afterward.