ClearAccess RBP
RBP-like savings, without the chaos.
Replace your network with something better than traditional reference-based pricing — without the headaches.
Guide members to high-quality, affordable care
Optimize every visit for price and balance-bill risk
Protect against access issues and surprise bills

More savings, less friction.
ClearAccess RBP Solution lowers plan costs while protecting the member experience.
AI-powered navigation
Surface providers with a track record of accepting Medicare-based rates and low balance-bill risk.
Smart pricing
Pay the best available rate across Medicare-based pricing and wrap networks covering 500K+ providers.
Balance-bill protection
Resolve balance and surprise bills with expert legal support, minimizing member disruption.
Seamless care access
Ensure access to care with virtual member IDs that adapt to each visit’s reimbursement strategy.

How it works
Plans
A more intelligent approach to RBP
Dynamically balance cost and surprise-billing risk, with safeguards built in.
Step
1
Search for care
Members use our navigation tool to search by symptom, procedure, provider, or location.
Step
2
Compare options
Compare providers by quality, balance-bill risk and the best available rate.
Step
3
Drive savings
Smartly reprice claims using the best available reimbursement option — whether a percent-of-Medicare, wrap networks covering 500K+ providers, or 501(r) — powered by our partner ClearHealth.
Step
4
Resolve unexpected bills
Reduce or eliminate balance and surprise bills using 501(r) or expert legal and No Surprises Act advocacy from our partner BillingNav.
Plan fit
Plans
Plan types that benefit most
ClearAccess RBP Solution is built for plans seeking a smarter alternative to RBP.




