Claramente provides a bilingual, Medicare‑covered care navigation service that assigns each Spanish‑speaking beneficiary a dedicated health advocate. The advocate verifies eligibility, creates personalized care plans, coordinates in‑network referrals, schedules appointments, books covered transportation, and connects seniors to eligible social‑service programs through a HIPAA‑compliant platform.
Funding
Funding not disclosed
Founders
Product
Problem
Latino seniors often encounter language barriers and fragmented information when navigating Medicare, leading to missed appointments, underutilized benefits, and difficulty accessing community support services.
Solution
Claramente delivers a bilingual, Medicare‑covered care navigation service that pairs each beneficiary with a dedicated health advocate. The advocate conducts a rapid intake, verifies plan eligibility, and creates a personalized care plan. Through secure coordination, the service arranges provider referrals, schedules appointments, and books covered transportation to eliminate geographic obstacles. It also maps eligible social‑service programs—such as food assistance, utility subsidies, and housing aid—and guides seniors through enrollment. All interactions are conducted in English and Spanish, and the platform complies with HIPAA standards, ensuring data privacy while streamlining communication between patients, providers, and payers.
Target Audience
The primary customers are Spanish‑speaking Medicare beneficiaries—both Original Medicare and Medicare Advantage enrollees—who require assistance with medical appointment logistics, benefit optimization, and access to social support resources.
Features
- Dedicated bilingual care navigator assigned to each member, acting as a single point of contact throughout the care journey
- Automated Medicare benefits analysis that identifies covered services, cost‑sharing structures, and enrollment opportunities for both Original Medicare and Medicare Advantage
- Integrated referral management system that matches beneficiaries with in‑network physicians, specialists, and facilities based on clinical need and plan constraints
- Real‑time appointment scheduling and reminder engine, reducing no‑show rates and administrative overhead for providers
- Coordinated non‑emergency medical transportation (NEMT) booking, leveraging Medicare‑covered ride programs to ensure access regardless of distance
- Resource navigation module that cross‑references federal, state, and local assistance programs (food, utilities, rent, housing) and facilitates application submission
- Health‑literacy toolkit delivering lab‑result explanations, condition education, and pre‑visit question prompts in both languages
- Secure, HIPAA‑compliant data platform with role‑based access, enabling seamless information exchange with EHRs and payer systems via FHIR‑compatible APIs