6,500+ specialty providersCoverage-ready
Eligibility and deductible detail return at the moment of booking.
PRE-SERVICE CLEARANCE & ELIGIBILITY
Financial Clearance Software for Complex Healthcare
The Leading Automated Eligibility, Prior Authorization & Copay Screening Solution for Specialty CareBlock revenue write-offs before patients reach the chair. Real-time eligibility checks, copay foundation screening, and electronic prior authorization in one schedule-linked terminal.
Why this work is different
Financial clearance means validating eligibility, determining real deductible levels, mapping copay assistance, and filing electronic prior authorization before therapy is compounded. With specialty drugs averaging over $15,000 per dose, one missing authorization is an immediate write-off.
Standard pre-clearance depends on phone tag with commercial networks. Coordinators hold on the line while an authorization sits pending, and the appointment goes ahead anyway because nothing in the scheduler stops it.
Real-Time Eligibility 270/271
Automated ePA Submissions
Foundation Fund Watchers
★★★★★4.8/5
★★★★★5/5
★★★★★5/5
★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified
Average prior authorization turnaround
<2 days
Measured across specialty practices
Financial Clearance Software
- Auto eligibility
- 270/271
- Auth approval
- 99.8%
- Avg turnaround
- <2 days
Trusted Payer & EHR Integration Partners
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Designed around the work, not bolted on
One connected workflow from the first appointment to reimbursement.
<2 days
Average prior authorization turnaround
Authorization-ready
ePA questionnaires file themselves from clinical data already captured.
Assistance-ready
Open foundation and grant funding pools are matched before the bill.
Clearance Advantages
Streamline Verification & Prevent Write-Offs
Standard pre-clearance platforms rely on endless phone tag with commercial networks. An automated electronic engine clears patients in seconds.
Instant Eligibility Checks
Submits ANSI 270 eligibility requests at the moment of booking, returning accurate remaining deductible and copay parameters.
Electronic Prior Auth (ePA)
Submits and retrieves pre-authorization numbers straight from the scheduler, cutting manual phone time by an audited average of 86%.
Scheduler Denial Locks
Prevents compounding labs from opening vials unless a compliant authorization is secured on the booking record.
Copay Foundation Screening
Tracks external non-profit and pharmaceutical grant funding pools and coordinates copay credit registration before the patient is billed.
Interactive clearance loss model
Simulate Authorization Write-Offs & Recaptured Capital
Set your monthly new patient volume, average regimen value, and current authorization write-off rate to trace the recovered margin.
Model your current clearance profile
Adjust all three inputs to match your referral pipeline.
80
10300
$45,000
$5,000$100,000
5.5%
1%12%
See your full results
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See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5
Directional estimate only — bring your own payer mix and we’ll model it properly.
The cost of generic software
Every gap here is money that was already earned
These are the places practices most often lose revenue when this part of the workflow runs on software that wasn’t built for it. Unlimited Systems closes each one with rules configured for your specialty and payers.
Review your workflowWhere the money goes
- High-cost regimens delivered against an authorization that had already expired.
- Copay foundation funding missed because nobody checked which pools were open.
- Coordinator hours lost to payer hold queues and faxed clinical histories.
- Patient starts delayed two weeks by manual authorization, pushing revenue out a quarter.
What changes on day one
The work generic platforms leave to your staff is the work your margin actually turns on.
Coordinators cross-check folders and separate browser tabs by hand.
Hard scheduler locks embedded in the booking record itself.
Manual lookup, usually only after a patient raises affordability concerns.
Live fund tracker that surfaces open pools at time of booking.
Hours a day spent calling payers and faxing clinical histories.
Bi-directional real-time payer sync over ANSI 278.
Side by side
Why Specialty Infusions Require Active Pre-Clearance
How standard clearance portals compare against scheduler-level authorization safeguards.
Criteria
Legacy system compromise
Unlimited Systems value
Scheduler authorization lockHolds appointments when a verified payer authorization has not cleared or has expired.
✕Coordinators cross-check folders and separate browser tabs by hand.
✓Hard scheduler locks embedded in the booking record itself.
Foundation grant screeningCross-checks drug booking codes against open non-profit disease grants.
✕Manual lookup, usually only after a patient raises affordability concerns.
✓Live fund tracker that surfaces open pools at time of booking.
Electronic prior auth portalsAuto-completes and files authorization questionnaires from parsed clinical data.
✕Hours a day spent calling payers and faxing clinical histories.
✓Bi-directional real-time payer sync over ANSI 278.
Still evaluating
Not Ready to Switch Yet? That's Exactly When to Start the Conversation.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
Less billing work between the visit and payment
Connected data and specialty rules keep your team on the exceptions that need judgment.
Verify before the visit
Coverage and authorization stay tied to the order.
Validate every charge
Code, unit, and modifier checks happen before filing.
Work the right accounts
Denials and A/R are ranked by value and filing risk.
35%less manual workflow time
One platform
The rest of the platform your practice runs on
The same connected system handles the operational work that sits either side of this module.
Patient Intake Software
Digital intake that captures accurate demographics and coverage before the visit.
Explore Patient Intake SoftwarePatient Scheduling Software
Smart scheduling that keeps calendars full and coverage verified in advance.
Explore Patient Scheduling SoftwareCharge Validation Software
Specialty and payer rules catch charge errors before claims go out the door.
Explore Charge Validation SoftwareRCM & Medical Billing Software
End-to-end billing from charge to close, tuned to specialty payer rules.
Explore RCM & Medical Billing SoftwareTailored Specialty Configurations
Specialty Specific Solutions
Each clinical specialty possesses unique operational rules and claim requirements. Search or browse our fully configured Financial Clearance Software configurations below.
Infusion Care
Oncology & Hematology
Oncology Financial Clearance Software
Dose-rounding rules, multi-bay scheduling, chemo-specific drug clearance, and waste modifiers tracking.
Infusion Care
Rheumatology
Rheumatology Financial Clearance Software
Complex buy-and-bill workflows, real-time biological injection and infusion clearance, and J-code tracking.
Infusion Care
Cardiology
Cardiology Financial Clearance Software
Cardiac device and clinic appointment matrix coordinates, interventional CPT sequences, and echo prior-auth checks.
Infusion Care
Infusion Services
Infusion Services Financial Clearance Software
Advanced chair/bay slot balancing, patient duration predictive overrides, nurse-to-patient safety ratios, and EHR matching.
Surgical Suite
Urology
Urology Financial Clearance Software
High-complexity outpatient procedure flows, pathology and lab synchronization, and catheterization eligibility clearance.
Surgical Suite
Dermatology
Dermatology Financial Clearance Software
High-throughput check-list workflows, cosmetic vs therapeutic prior-auth rules, and biopsy modifier billing checks.
Surgical Suite
Diagnostic Imaging
Diagnostic Imaging Financial Clearance Software
Modalities (MRI, CT, PET) calendar balance, specialized technician scheduling, and real-time prior-auth checks.
Infusion Care
Gastroenterology
Gastroenterology Financial Clearance Software
Split facility/professional fee systems, colonoscopy screening modifier crossovers, and anesthesia codes alignment.
Surgical Suite
Neurosurgery
Neurosurgery Financial Clearance Software
High-acuity surgeon modifiers, intraoperative nerve monitoring workflows, global post-op tracking, and device inclusions.
Surgical Suite
Neurology
Neurology Financial Clearance Software
Support for sleep logs, EMG checklists, cognitive scoring, and complex specialized home health infusion clear pathways.
Clinical Program
Mental & Behavioral Health
Behavioral Health Financial Clearance Software
Psychotherapeutic codes, medication checkers, recurring outpatient templates, and multi-state compliance matrices.
Surgical Suite
Ophthalmology
Ophthalmology Financial Clearance Software
Refractive surgical billing grids, vision insurance crossovers, retina scan diagnostic checklists, and global cataract rules.
Clinical Program
Multi-Specialty
Multi-Specialty Financial Clearance Software
Unified billing ledgers across multiple high-acuity departments and seamless EHR data mapping coordinates.
Infusion Care
Allergy & Immunology
Allergy & Immunology Financial Clearance Software
Complex multi-vial antigen compounding logs, venom dose escalations, and rapid biological asthma injection pathways.
Infusion Care
Endocrinology
Endocrinology Financial Clearance Software
Continuous glucose monitor (CGM) sensor logging, hormone infusion therapies, and complex diabetic education tracks.
Infusion Care
Infectious Disease
Infectious Disease Financial Clearance Software
Outpatient parenteral antimicrobial therapy monitoring, home health nursing coordinate feeds, and J-code splits.
Infusion Care
Nephrology
Nephrology Financial Clearance Software
Renal dialysis facility coordinates, erythropoiesis-stimulating agent dose-rounding logs, and Medicare ESRD compliance.
CUSTOM ENTERPRISE ENGINES
Consult Specialty EngineerNeed customized rule configuration for other clinical programs?
Unlimited Systems templates flexible operational and billing matrices for over 25+ medical specialties. We configure local and commercial medical guidelines to protect your clinical revenue flow patterns from lost claims.
Knowledge base
Frequently asked questions
Financial clearance involves validating insurance eligibility, determining real-time deductible levels, mapping appropriate copay assistance foundations, and filing electronic prior authorization before any therapy is compounded. Because specialty drugs average over $15,000 per dose, an authorization omission results in an immediate write-off.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
We Love Hearing From Our Users
Practices like yours, on what changed after moving to Unlimited Financials.
★★★★★4.8/5
★★★★★5/5
“
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
Sam Wheeler
CFO, SCOA
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
I would recommend Unlimited Financials to other specialty practices.
Michelle Leandri
CEO, NEPA
“
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
Gina
Administrator, FOUR
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
Sam Wheeler
CFO, SCOA
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
I would recommend Unlimited Financials to other specialty practices.
Michelle Leandri
CEO, NEPA
“
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
Gina
Administrator, FOUR
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
GET STARTED
Pre-Authorize Every Infusion & Lock Scheduler Leaks
Align your scheduling workflow with direct EDI prior-authorization checks alongside a financial clearance consultant.
★★★★★4.8/5★★★★★5/5★★★★★5/5
★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified
Related billing & RCM glossary terms
Brush up on the revenue cycle terms that come up most with this part of the platform: clear, plain-language definitions from our RCM team.
Browse the full RCM glossary