The New Standard for Healthcare Price Transparency

An executive overview of how ClarityQuote Enterprise masters regulatory compliance and redefines the patient financial experience.

The Challenge: A Fragmented Financial Journey

Today, a single medical event triggers multiple, confusing bills, eroding patient trust and creating administrative drag.

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Hospital Bill

Facility Fees, Supplies, Room Charges

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Anesthesiologist Bill

Time-Based Professional Fees

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Radiologist Bill

Professional & Technical Fees

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The Result: Patient Confusion & Lost Trust

The Strategic Solution: ClarityQuote Enterprise

A unified platform to consolidate complexity into a single, transparent "Episode of Care."

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Hospital
+
🔬
Radiology
+
🩺
Anesthesia
=
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One Good Faith Estimate

This integrated approach is the architectural answer to the No Surprises Act and the foundation of the "One Big Beautiful Bill" philosophy.

Deconstructing the Episode of Care

Specialized modules handle the unique billing complexities of each department.

Hospital Module: Bundled Pricing

Create pre-defined bundles for common procedures, turning dozens of line items into a single, understandable charge. This example shows a breakdown of a Knee Replacement Bundle.

Radiology Module: Fee-Type Clarity

Clearly delineate between the professional fee (the radiologist's interpretation) and the technical fee (the use of the equipment), demystifying charges for patients.

Anesthesiology Module: Formula-Based Precision

Replace guesswork with a transparent formula, generating a defensible estimate based on procedure complexity and surgeon's estimated time.

Base Units
10
+
Time Units (120 min)
8
×
Conversion Factor
$75.50
=
Total Estimate
$1,359

The Workflow in Action

A simple, streamlined process for generating a comprehensive Good Faith Estimate.

1. Start Episode of Care

A financial counselor initiates a new estimate for a patient's upcoming procedure.

2. Add Hospital Bundle

Selects the appropriate pre-configured service bundle (e.g., "ACL Repair"), which auto-populates all facility fees and standard supplies.

3. Add Co-Provider Fees

Sequentially adds the Radiology and Anesthesiology components. For anesthesia, they simply enter the surgeon's estimated time.

4. Generate Consolidated GFE

The system produces a single, comprehensive document that is fully compliant with the No Surprises Act and easy for the patient to understand.

The Outcome: A New Strategic Advantage

Transforming a regulatory burden into an investment in risk mitigation and patient loyalty.

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Reduced Compliance Risk

Dramatically reduce risk under the No Surprises Act by automating the most complex GFE requirements in a defensible, repeatable process.

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Increased Patient Loyalty

Build unshakable trust by providing the clear, honest, and consolidated financial experience that modern patients demand and deserve.