90-day guided pilot
Give one location a controlled way to turn completed visits into reviewed claim packages. Start narrow, measure the work for 90 days, and decide what to do next.
One location. One export format. Two named approvers. No promise of payer acceptance, payment, or timing.
Current product
The pilot uses one focused flow. Your practice keeps the clinical, coding, and release decisions. Claims Native keeps the work visible and moves each visit to its next clear state.
One agreed format starts the work.
Only work that needs review stays in view.
Set rules guide holds, corrections, and next steps.
The named office approver checks practice facts.
The named provider keeps clinical authority.
A prepared package moves to its configured path.
What release means: both named approvals are complete and the next claim package is ready for its configured path. Release alone does not prove transmission, payer receipt, acceptance, adjudication, or payment.
Fit comes first
The pilot fits a practice that can hold the first lane steady long enough to judge the workflow. It does not fit a practice seeking a full billing service on day one.
90-day outline
The phases set the work we control. External payer events follow their own timing, so the pilot does not tie completion to a promised response or payment date.
Confirm the location, export, two approvers, required inputs, practice rules, and claim paths. The $500 guided launch covers this setup.
Review sample visits, test required fields, tune holds, and make sure office and provider decisions stay separate.
Move live visit exports through the queue. Each week, review time, corrections, released packages, blocks, and owners.
Compare workflow results, practice time, artifact quality, unresolved work, and any external outcome backed by source evidence.
A payer acknowledgment, status, remittance, or payment may arrive during the pilot, after it, or not at all. We report the state shown by the source and leave unknown results unknown.
Proof plan
The weekly review records what moved, how much practice time it took, what the packages contained, and what remained unresolved.
Count visits that move from export through both approvals to the configured package. Record failed steps, retries, and fixes.
Track office review time, provider review time, weekly review time, and any work that falls outside the queue.
Check package completeness, correction reasons, approval records, and the quality of each prepared or released artifact.
Keep blocked visits, missing facts, unknown external results, owners, age, and next steps in the weekly record.
Payer or payment outcomes count only when source evidence supports them. That evidence may include a clearinghouse or payer acknowledgment, a claim-status response, a remittance, or a deposit record. A prepared package, approval event, test, or dry run is not payer or payment proof.
Before work starts
The guided launch checks these inputs before visits enter the pilot. Missing inputs may hold the lane or make it a poor fit.
The current pilot ends at the next claim package and the evidence the lane produces. Post-visit insurance revenue operations are a direction after proof, not part of this 90-day scope.
The practice keeps clinical, coding, financial, and release authority. Claims Native makes no guarantee of claim acceptance, legal correctness, reimbursement, payment amount, payment date, or added revenue.
Pilot questions
The pilot tests a controlled practice workflow. It does not turn outside payer timing into a promise.
It turns one visit export into a short approval queue, applies practice rules, records separate office and provider approvals, and prepares the next claim package for the configured claim path.
$500 guided launch, then $249 per month for 90 days. The monthly fee includes 200 visits; each additional visit is $1.25.
No. Release means both named approvers completed the configured review and the next claim package is ready for its configured path. A test or dry run does not count as transmission. Payer receipt or acceptance counts only with source evidence.
Claims Native does not promise exact payer timing. External acknowledgments, claim status, adjudication, remittance, and payment may fall inside or outside the 90-day pilot.
No. The pilot does not guarantee claim acceptance, reimbursement, payment amount, payment date, revenue, or legal or coding correctness. The practice keeps clinical, coding, and release authority.
At the end of 90 days, we review workflow, practice time, artifact quality, unresolved work, and any payer or payment result backed by source evidence. The practice then decides whether to stop, adjust, or expand. Post-visit insurance revenue operations are a direction after proof, not part of this pilot.
Bring one export format, one location, and the lane you want to test. The Insurance Opportunity Review will confirm whether the 90-day pilot fits.