Compliance infrastructure for industry–physician payments

Every physician payment — tracked, classified, and reportable. Finally.

One portal. Real-time visibility. Automatic tax classification. One-click COI reports.

Tax Ledger — 2026 YTD
Dr. M. Mehta, MD · Axion Medical
Paid
  • Advisory board — Q2 oncology panel
    Taxable income
    $4,500.00
  • Travel reimbursement — ASCO 2026
    Reimbursement
    $812.40
  • Speaker program — regional dinner
    Taxable income
    $3,000.00
1099-reportable YTD$7,500.00

Demo classification for illustration only — not tax, legal, or compliance advice. Tax treatment of reimbursements depends on accountable-plan substantiation.

$13.2B
2024 physician payments
16.16M
payment records
1,800+
reporting companies
940K+
covered physicians

Source: CMS Open Payments, Program Year 2024.

The status quo

A regulated, two-sided money flow — still run on spreadsheets and email.

2–3 months
Payment delays

Physicians chase honoraria across SOWs, invoices, and AP queues with no visibility into where a payment actually sits.

1099 vs. expense
Tax classification confusion

Honoraria, reimbursements, and in-kind transfers land as one lump sum — untangling taxable income from accountable-plan expenses happens at filing time, if at all.

$1.4M / yr
Compliance exposure

Misreported transfers of value carry CMS Open Payments penalties up to $1.15M per year — before audit, remediation, and reputational cost.

Penalty and exposure figures are illustrative estimates for demo purposes, drawn from public CMS Open Payments civil monetary penalty maximums — not tax, legal, or compliance advice.

The platform

One platform, two sides.

Companies and physicians work off the same record — so the payment, its tax treatment, and its disclosure obligations never drift apart.

Company side

SOWs, approvals, payment runs, and an always-current view of every dollar out the door — with an audit trail behind each one.

Physician portal

Every engagement and payment in one place: live status, full history, and documents. No more calling AP to ask where a check is.

Compliance engine

Each transfer of value is auto-classified for tax treatment and CMS Open Payments reportability the moment it's recorded.

COI generator

Disclosure-ready conflict-of-interest reports for any institution, journal, or panel — generated from the ledger in one click.

This demo runs on real public data.

PayClear imports live CMS Open Payments records — try any physician's NPI and watch their payment history classify itself.

Try the CMS import