clearcarepulse
ClearCarePulse: Healthcare price transparency and cost navigation API. AI-synthesized procedure price search, cash-pay alternatives, hospital quality scoring, out-of-pocket estimation, insurance negotiation scripts,
Coverage: Global
Endpoints: • search ($0.15): Procedure price search • hospital ($0.10): Hospital price lookup • episode ($0.15): Total episode cost breakdown • oop ($0.15): Out-of-pocket cost calculator • alternatives ($0.10): Lower-cost care site alternatives • negotiate ($0.10): Medical bill negotiation guide • dental ($0.10): Dental cost intelligence • cosmetic ($0.10): Cosmetic procedure cost intelligence • rights ($0.05): Medical-Bill Rights Check (quiz-first) • rights-letter ($5.00): Citation-Locked Medical-Bill Letter • rights-check ($0.25): Medical-Bill Letter Preview (agent tier)
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| hsa | No | Has HSA (true/false) | |
| zip | No | Patient zip code for geographic search | |
| lang | No | Response language (e.g., 'Spanish') | |
| check | No | Which check to run | |
| action | Yes | Which endpoint to call. Options: search | hospital | episode | oop | alternatives | negotiate | dental | cosmetic | rights | rights-letter | rights-check | |
| income | No | Annual income in USD (for charity care eligibility) | |
| radius | No | Search radius in miles | |
| insured | No | insured | |
| oop_max | No | Annual out-of-pocket maximum in USD | |
| hospital | No | Hospital name — e.g., 'Cleveland Clinic', 'Stanford Medical Center' | |
| location | No | City or region for geographic adjustment | |
| msn_date | No | msn: Medicare Summary Notice date | |
| scenario | No | surprise: what happened | |
| bill_date | No | gfe: bill date (120-day window) | |
| nonprofit | No | assistance: is the hospital nonprofit | |
| oop_spent | No | OOP already spent this year in USD | |
| plan_type | No | Plan type (Bronze, Silver, Gold, Platinum, employer) | |
| procedure | No | Procedure name in plain English — e.g., 'knee MRI', 'colonoscopy', 'hip replacement' | |
| claim_type | No | appeal: claim type (decision windows differ) | |
| deductible | No | Annual deductible in USD | |
| gfe_amount | No | gfe: the estimate | |
| bill_amount | No | Bill amount in USD | |
| coinsurance | No | Patient coinsurance % (default: 20) | |
| denial_date | No | appeal: denial notice date | |
| patient_name | No | Patient name (placeholder if omitted) | |
| service_role | No | surprise: clinician role (never-waivable ancillary detection) | |
| annual_income | No | assistance: annual income (FPL math) | |
| billed_amount | No | gfe: the bill | |
| has_insurance | No | has_insurance | |
| provider_name | No | Provider/plan/hospital name | |
| balance_billed | No | surprise: balance-billed amount | |
| consent_signed | No | surprise: did you sign a notice-and-consent form | |
| deductible_met | No | Deductible already met this year in USD | |
| household_size | No | assistance: household size (FPL math) | |
| procedure_cost | No | Known procedure cost in USD | |
| current_setting | No | Where currently scheduled (default: hospital outpatient) | |
| final_denial_date | No | appeal: final internal denial (external-review window) | |
| first_statement_date | No | assistance: first post-discharge statement (ECA/application windows) |