Claritas brings together the tools you need to clean encounters, close HCC gaps, and prevent denials — all sharing one rules library, one workspace, and one audit trail.
01 · Pre-bill intelligence
Find the issue while the chart is still warm.
Lumen reviews encounters the moment they leave your EMR — comparing documentation, codes, and payer rules — and surfaces gaps to the right person before a claim is ever generated.
02 · Risk-adjustment coding
Defensible HCCs, with the evidence attached.
Risk Lens reads the chart, identifies suspect and supported HCCs, and routes only what truly needs a coder. Everything it touches comes with a citation back to the source documentation.
03 · Denial prevention engine
Stop the denial before it ships.
Sentinel is a configurable scrubber tuned to your historical denials, payer mix, and specialty patterns. Edits are human-readable, version-controlled, and easy for your compliance team to govern.