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A healthcare fintech creating transparency and two-way 
relationships between employers and their TPAs
As a self-insured employer you want

the best for your employees but, are you 
getting everything they deserve?
One-in-five dollars are lost through 
improper healthcare payments and 
employers are liable. By no fault of their 
own, they are helpless to gain insight and control over their healthcare payments. 
America’s employers are in a crisis.
ClērBlū can help.
The Crisis
The health insurance payer system is fraught with errors 
at an average of 20%. These overpayments come from incorrect coding, duplicate charges, contract deviation, flawed patient information, and inefficient technology. These errors affect 35,000 employers and more than 
150 million lives.
ERISA and the Consolidated Appropriations Act of 2021, placed employers at the center
of fiduciary responsibility. 

TPAs are now required to 

share payment data but each
has their own platform and reporting structure. Employers
are struggling to gain insight
and control of their healthcare payments from the data, 

but are still liable.
With the help of lawyers and auditors, employees have been quick to find some of the waste in their benefits and are suing for accountability and damages. Lawsuits against J&J, Wells Fargo and Heinz are the tip
of the iceberg. The industry 

is warning of many more
lawsuits to come.
The average company with 10,000 employees

loses nearly 32 million of their healthcare dollars
The ClērBlū Solution: How it Works
ClērBlū is the only partner with a forward-looking approach. Starting on day one, we provide a real-time transparency of your health benefits, creating insight, control and the best chance of recovering those lost dollars. This is the gold standard of fiduciary care.
Using Machine Learning AI…
ClērBlū automatically collects weekly data from your TPA, translates and applies rules within seconds.
ClērBlū rates each claim and takes action on the outliers and errors. Payments with clear mistakes are automatically appealed, others needing more information are flagged for a human touch. This process allows the software
to learn and refine for similar resolutions in the future.
An employer dashboard delivers all appeal progress, financial tracking and hidden fees. This data also allows employers to identify trends in their healthcare benefits while being HIPAA compliant and shielded from employee personal information.
The Win/Win
ClÄ“rBlÅ« helps you sleep at night. It allows you to…
Give your employees the best
Monitor TPA transactions in realtime
Control costs / eliminate waste
Demonstrate the fiduciary care demanded by employees
Build a golden thread of data to influence benefit decisions
Do what you do best
A Team Like No Other
“A team like no other,” is a moniker placed on us by some
marketing guy. We try not to take ourselves too seriously, we save that for our clients where we let our passion and expertise shine.
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We are experts in healthcare claims, payments and audits with more than 100 years of combined experience. Along the way we’ve worked for employers, payers and providers. We’ve excelled at creating scalable solutions with successful exits for some of the most recognized names in the industry; athenahealth, McKesson, Allscripts, Change Healthcare.
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Our next chapter lies in positively affecting the 150 million lives under the ERISA umbrella. We are the only realtime partner setting the gold standard for fiduciary care by employers and influencing industry practices. We are serious about being a force for good, creating transparency and saving employers and employees money.
– Dave Adams / Richard Moore / Greg Koller
Our Mission
“Using knowledge and technology we will shine a light 

on health insurance to set the gold standard of integrity,
fairness and financial responsibility. Our commitment 

will impact industry practices and positively

impact employees, employers, partners, 

investors and ourselves.”
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If you’d like to know more follow us on LinkedIn or give us a call