From clinical note to a submitted authorization.
Cleev drafts the payer form and medical necessity letter straight from your notes, routes them for review and e-signature, and files them by fax — the whole packet, without the afternoon of paperwork.
No card required · Draft your first authorization today
Every authorization is an afternoon your providers don't get back.
A week, on paperwork
Physicians and their staff spend about 13 hours a week on prior authorization — nearly two business days that could go to patients.
Say it delays care
94% of physicians report that prior authorization delays patients getting the care they need.
See patients give up
More than three-quarters report patients abandoning treatment because of authorization hurdles.
Source: American Medical Association, 2024 Prior Authorization Physician Survey. Figures describe prior authorization industry-wide — not Cleev outcomes.
In behavioral health it runs deeper. rTMS, esketamine and controlled-substance criteria vary payer by payer, and NP-led practices carry supervising-physician sign-off and multi-state licensing on top. A generic PA tool was never built for any of it — Cleev is.
One path, from note to submission — with your provider in control at every step.
Analyze
Drop in the clinical note. Cleev reads it against the payer's behavioral-health criteria and flags what's needed.
Draft
The payer form and necessity letter are drafted for you — codes, prior trials and evidence already in place.
Review
A coordinator checks the draft, edits anything, and adopts it. Nothing moves without a person deciding.
Sign
The provider e-signs; where required the supervising physician co-signs — the right signatures, in order.
Submit
Cleev faxes the packet to the payer and tracks the outcome, recording every step for the audit trail.
Every authorization, at a glance.
One queue for the whole clinic — what needs review, what's awaiting a signature, what's out the door, and what came back.
Built for the way behavioral-health clinics actually get paid.
NP sign-off & co-signature, handled
Designate a supervising physician, route co-signatures automatically where a state requires them, and keep the dual-signed packet on file — matched to each state's rules.
Necessity letters that read like yours
Written from the evidence in your note — prior trials, severity, response — ready to sign.
Multi-state aware
Sign-off requirements surface before a packet goes out — not after a denial lands.
Behavioral-health policy engine
Payer criteria for rTMS, esketamine and controlled substances kept current.
Denials come back as appeals
When a payer says no, the appeal is drafted from the denial reason and your note — ready to review and resend.
An audit trail you can stand behind
Who drafted, who edited, who signed, when it was filed — every action recorded on an immutable log, ready for compliance review and appeals.
Cleev drafts; your provider decides. Every form arrives as a draft to adopt, edit or reject — nothing is filed, and no letter is signed, without a person on your team saying yes.
Field-level encryption
PHI is encrypted per field — not just at rest on a disk.
HIPAA-aligned & BAA
A Business Associate Agreement for every clinic.
Immutable audit log
Every access and action recorded, tamper-proof.
Tenant isolation & MFA
Each clinic walled off, role-based access, multi-factor sign-in.
Trusted by the people who sign the packet.
The necessity letter used to be my whole afternoon. Now I review a draft that already cites the trials and sign it.
Co-signature routing is the part I was dreading. Cleev surfaces the supervising-MD requirement before we submit, not after.
One queue for every request, and the appeal is ready when a denial lands. I stopped retyping the same fields into every portal.
Illustrative — representative of the clinics and roles Cleev is built for. Named customer references available at launch.
One workflow, three jobs it makes lighter.
"I sign packets that are already right — not ones I have to rebuild."
- Letters grounded in your own note
- One-tap e-signature, review first
- Time back for patients, not forms
"Supervision and sign-off are handled — not something I track myself."
- Co-signature routed automatically
- State requirements surfaced up front
- Practice agreements kept on file
"I review and send, instead of retyping the same fields into every payer form."
- Drafts to adopt, edit or reject
- One queue for the whole clinic
- Denials flagged with the appeal ready
Live in your clinic this week — no integration project.
Cleev works alongside the way you already practice. Start from the note; there's no rip-and-replace and no IT rollout to wait on.
Start from the note
Paste or upload a clinical note. No EHR rip-and-replace, no data-migration project to schedule.
Any payer, by fax
Submit to any payer's fax line — no portal-by-portal setup, no clearinghouse contract required.
Your whole team, one clinic
Invite providers and coordinators. Role-based access and sign-off are built in from day one.
Export & audit anytime
Every packet and action is exportable — for your records, a compliance review, or an appeal.
Straightforward pricing for every practice.
Try it free, no card required. Every plan drafts the whole packet and submits by fax; upgrade when the volume is there.
For a solo provider
- 20 authorizations / month
- Denial tracking & appeals
- Re-authorization reminders
- One provider seat
For a small practice
- 75 authorizations / month
- Everything in Solo
- Up to 5 provider seats
- Team roles & NP co-signature
For a group practice
- 200 authorizations / month
- Everything in Practice
- Up to 15 provider seats
- Priority support
For 15+ providers, specialty or health system
- Everything in Group
- Unlimited provider seats
- SOC 2 Type II + HITRUST
- Dedicated onboarding & support
Every plan includes HIPAA-grade security, a signed BAA, role-based access and a full audit trail. Billed monthly — annual billing saves ~15%. No setup fee, no per-authorization charge.
Answers before you sign up.
Still unsure? — we'll walk your clinic through it.
Which specialties is Cleev for?
Behavioral and mental health specifically — psychiatry, PMHNP-led practices and behavioral-health clinics. Criteria and letter drafting are tuned for services like rTMS, esketamine, psychotherapy and controlled-substance prescribing, not a generic all-specialty form filler.
Does the software submit anything on its own?
No. Cleev produces a draft. A person on your team reviews, edits and adopts it, and the provider signs it. Nothing is filed with a payer without a provider deciding.
How do you handle NP supervising-physician sign-off?
You designate a supervising physician, and Cleev routes the co-signature automatically where a state requires it, keeps the dual-signed packet on file, and surfaces the requirement before submission — not after a denial.
How is patient information protected?
PHI is encrypted at the field level, each clinic's data is isolated, access is role-based with multi-factor sign-in, and every action is written to an immutable audit log. A BAA is available.
Do you use our patient data to train AI models?
No. Your clinic's data is used only to draft your own authorizations — it is never sold and never used to train shared models. PHI stays encrypted and isolated to your clinic, under a BAA.
What happens if a draft is wrong?
Nothing is submitted or signed automatically. Every draft is grounded in your note and reviewed by your team, who can edit or reject it before a provider signs. Cleev drafts; your provider decides.
Which payers and states do you support?
Behavioral-health criteria are kept current across major payers, and packets submit by fax to any payer's line. Multi-state licensing and supervising-physician sign-off rules are built in, so a provider practicing across states stays covered.
What does it take to get started?
Create an account, set up your clinic, and invite your team. There's no card required to start, and you can draft your first authorization the same day.
Start clearing the prior-auth backlog today.
Create your clinic on Cleev and draft your first authorization in minutes. No card required.
Already have an account?