For the team that files Open Payments
An expense report can take up to ninety days to arrive under a common policy limit, and that lag is where errors start. The record it creates is public for years. Today, the physician named in each row first sees the number after it publishes, which is the most expensive possible moment to learn it is wrong.
PayClear opens a confirmation window as soon as you send it the filed report. Today that is an import from your own expense system's export, not a new system for your team to run. The physician confirms the entry or flags it, in private, while it is still a draft. An accountability layer on spend you already have to report, invisible unless something is wrong.
Expense software stops at submission. Transparency reporting starts at reconciliation. The seat between them is empty. That is where PayClear sits.
A rep hosts the dinner. A consulting fee is paid. Your money, your rails, exactly as today.
The report arrives anywhere up to the policy limit. That lag is where errors start: memory fades, amounts drift, the wrong physician gets named.
You send PayClear the filed entries, today an import from your expense system's own export. The physician confirms or flags each one. In private, with time to check.
Review starts from entries the physician has already seen. Exceptions arrive flagged, not discovered.
Published the following June. Already checked by the person it names.
The physician first meets your number when it is published, the following June. A dispute lands in public, and a correction waits for the next filing cycle.
Today, staff check the record physician by physician before an attestation anyone is willing to sign. With the window, reconciliation starts from entries the physicians already confirmed.
The chase work disappears. Compliance time goes to judgment calls, not to tracking down doctors about entries filed months ago.
You file a record the physician has already checked, and no physician meets a surprise in public. That removes the two things that turn into a dispute: a number the physician never saw, and a correction that waits a year to land.
It is free to them, permanently, and it is theirs rather than yours. It answers their institution's disclosure cycle and their journal submissions from the same ledger, so confirming your entry adds to a record they can reuse rather than one that lives only in your file.
PayClear holds no funds and takes no share of any payment a physician receives. Your payments run on your rails, exactly as they do today. We carry the record of what was paid, never the payment.
No fee varies with confirmations, disputes, response rates or outcomes. Any of those would give somebody a reason to lean on a clinician, and a record produced under pressure is worth less than no record at all.
A confirmed entry is quiet. What surfaces is the exception: the entry a physician says is not theirs, the amount that does not match, the name that should be someone else. That is the one thing worth an hour of anyone's attention.
A physician managed is a distinct physician you paid more than $500 in a program year, so the price tracks the relationships you actually file on. Never findings, payment volume, record counts or outcomes.
It is a monthly subscription, not a licence: recurring software is operational spend, so it does not go down the capital approval path a perpetual licence does.
| Physicians managed | Monthly | Per year | What it is |
|---|---|---|---|
The floor Up to 115 physicians | $4,166.67 | $50,000.04 | Up to 115 physicians managed pay the same minimum |
Regional device maker 300 physicians | $10,800.00 | $129,600.00 | Priced per physician, past the floor |
National commercial team 600 physicians | $21,600.00 | $259,200.00 | Same rule, no bands, no tiers |
Large filer 1,000 physicians | $36,000.00 | $432,000.00 | The largest count with a published price |
Above 1,000 physicians managed the subscription is agreed directly rather than published. The monthly figures are what you are invoiced, and the yearly column is simply twelve of them: $50,000 does not divide into whole cents, so the floor rounds up rather than down, and the price you are quoted is never lower than the price you pay. The count is set when you sign and moves only at renewal.
The vendor workspace, the view of your own public Open Payments footprint, and pre-file proposals to physicians are built and running. No manufacturer is live on it yet, and we would rather say so than imply a queue or a reference account we do not have. What that means for you in practice: you would be first, the defaults are still cheap to argue with, and the price above is the price either way.
Worth a conversation? michael@payclear.health · or create your workspace