These Terms of Service ("Terms") govern your access to and use of the Clear Capitation website and services. By accessing our website or engaging our services, you agree to be bound by these Terms.
Clear Capitation provides ESRD capitation recovery analytics and managed recovery services for Medicare Advantage plans. Our services include identifying ESRD members who may be reimbursed at incorrect CMS rates, quantifying recoverable revenue, managing the correction process, and tracking recoveries through CMS payment cycles.
All service engagements are governed by a separate Service Agreement executed between Clear Capitation and the client. These Terms apply to website use and general interactions. In the event of conflict between these Terms and a signed Service Agreement, the Service Agreement prevails.
Our standard pricing model is contingency-based: a fee of 12% of confirmed recovered revenue. No upfront costs, retainers, or minimum commitments apply unless otherwise specified in a Service Agreement. The initial revenue recovery audit is provided at no cost and carries no obligation.
Clients engaging our services agree to:
Both parties agree to maintain the confidentiality of proprietary information disclosed during the engagement. Clear Capitation's analytical methods, detection algorithms, and recovery processes are proprietary and confidential. Client data, including all PHI, is treated as confidential and handled in accordance with our Privacy Policy and applicable BAA.
All content on this website — including text, graphics, logos, design, and code — is the property of Clear Capitation and is protected by applicable intellectual property laws. You may not reproduce, distribute, or create derivative works from any content on this website without our prior written consent.
Our analytical tools, detection models, and recovery methodologies are proprietary to Clear Capitation. No engagement grants the client any license or right to our underlying technology.
Our website and informational content are provided "as is" without warranties of any kind, either express or implied. While we strive for accuracy, we do not guarantee that recovery opportunities exist for any specific plan, or that any particular dollar amount will be recovered. Estimates provided during the audit phase are preliminary and subject to validation.
To the maximum extent permitted by law, Clear Capitation's total liability arising from or related to these Terms or your use of our website shall not exceed the fees actually paid by you to Clear Capitation in the twelve (12) months preceding the claim. We shall not be liable for any indirect, incidental, special, consequential, or punitive damages.
You agree to indemnify and hold harmless Clear Capitation, its officers, employees, and agents from any claims, damages, or expenses arising from your breach of these Terms or your misuse of our website or services.
These Terms are governed by and construed in accordance with the laws of the State of Delaware, without regard to its conflict of law provisions. Any disputes arising under these Terms shall be resolved in the state or federal courts located in Delaware.
We reserve the right to modify these Terms at any time. Changes will be posted on this page with an updated "Last updated" date. Your continued use of our website or services after any changes constitutes acceptance of the revised Terms.
For questions about these Terms, contact us at: