Description
ClinShield reads your session notes, codes the claim, submits to insurance, and handles denials, autonomously. You keep your independence. Billing runs itself.
Therapists lose 30–45% of their revenue to billing. Not because they’re bad at it. The system is designed to punish solo practices. Here’s where the money goes.
35–0% NEVER APPEALED: Of denied claims never get appealed. That’s recoverable revenue sitting on the table, simply because nobody has time to write the appeal letter.
30–0% AGGREGATOR CUT: Paid to Headway, Alma, or SonderMind. For what amounts to a glorified form submission service. On a $150 session, that’s $45–68 gone before you see a cent.
0 days FILING WINDOW: Or less, for most payers. Miss the deadline and you forfeit the entire reimbursement. Permanently. No appeal, no recovery.
Where a $150k/year solo practice actually goes: Based on national averages
What you actually keep — $57,000
Aggregator cut — $55,500/year
Unappealed denials — $12,000/year
Timely filing misses — $7,500/year
Undercoding — $7,500/year
Your time on billing — $10,500/year
Revenue modeled on a $150,000/year solo therapy practice billing insurance. Aggregator cut assumes 30–45% platform fee.
Meet your agent.
Three things happen when you paste a session note. None of them involve you doing paperwork.
01 · read
It reads the note.
Picks up session length, modality, and the clinical picture from your SOAP note. Every identifier is stripped before anything else runs.
02 · code
It picks the codes.
Weighs duration, modality, and ICD indicators, then commits to a claim. Anything below 80% confidence gets handed back to you.
03 · submit
It submits the claim.
One click sends it to the payer. If it comes back denied, the appeal is already drafted and waiting for you to approve.
Your patients' data never leaves your side.
Every session note passes through our de-identification gateway before any AI touches it. Claude only sees safe, de-identified text. Your patients are never identifiable. Ever.
HIPAA-architected
Built to 45 CFR 164.514(b)(2) safe harbor de-identification standards from day one. AWS BAA signed before any real patient data enters the system.
No LLM ever sees PHI
The gateway strips 18 categories of identifiers before any request reaches Claude. Per-note token maps stay on our servers, never transmitted, never logged externally.
You approve every claim
The agent suggests codes. You click submit. Every single time. No auto-submission in V1, period. You're the coder of record, the agent is your assistant.
