vendor

ClarityCare AI provides software that supports utilization management and related administrative workflows for health plans and benefit administrators, including those serving Medicaid and safety-net populations. Its AI agents operate within existing systems to ingest clinical documentation (e.g., faxes, portals, EHR data), review cases, and assist with processes such as prior authorization, concurrent review, and appeals.

The platform applies plan-specific guidelines, state requirements, and internal policies to generate structured case summaries and recommended determinations, which are written back into the organization’s system of record. Deployments are typically human-in-the-loop, ensuring clinical oversight and regulatory compliance, with optional automation for clearly defined, low-risk scenarios. The objective is to improve timeliness, consistency, and operational capacity without requiring changes to existing infrastructure or care management models.

Contact:
Hermine Tranie
CEO
917.302.9025
hermine@claritycare.ai

435 Brannan Street, Suite 207
San Francisco, CA 94107
www.claritycare.ai