Case Study: Concord Orthopaedics achieves 5% increase in self-pay collections with Clearwave's automated estimations

Concord Orthopaedics Increases Self-pay Collections Through Estimations

Concord Orthopaedics, a seven-location orthopaedic practice in New Hampshire with 50 providers and roughly 9,000 monthly patients, faced new Good Faith Estimate requirements under the No Surprises Act, rising patient financial responsibility, and staffing shortages that made manual insurance and estimation work impractical. To improve compliance, transparency, and point‑of‑service collections without adding staff burden, they engaged Clearwave and adopted Clearwave’s insurance verification and registration solutions (integrated with Rivet Health’s estimations platform).

Clearwave’s solution runs real‑time eligibility and deductible checks through the practice’s PMS, sends insurance data to Rivet Health to calculate patient responsibility, and delivers automated estimation notifications and self‑service payment options (including a Clearwave kiosk) at check‑in. The integrated approach increased self‑pay collections by 5% — with 53% of that increase directly attributed to providing estimations in advance — and supported average monthly collections of $127,111; copays collected via the kiosk totaled about $240,886 in the last six months, while improving compliance and patient financial engagement.

Concord Orthopaedics