Claims Intelligence Solutions
Data-driven, customizable healthcare cost management solutions that can control costs and make affordability possible.
Cost Containment
Pricing Transparency


With costs rising, transparent and data-backed negotiation are essential.
Escalating costs and surprise bills put pressure on both plans and members. Our Claims Intelligence Solutions can clarify the complex with data-driven negotiations, reference-based pricing solutions, and surprise bill services that can reduce spend and help safeguard the member experience.
Claritev is your complete claims intelligence partner, bringing transparency to opaque healthcare costs by leveraging publicly available data to bring insight to light.
Solutions elevated by expertise and innovation that can make a bottom-line difference for you and potentially lower the cost of care.
Reference- Based Pricing Solutions
Our reference-based pricing (RBP) services offer flexible, cost-effective, data-driven solutions aimed at reducing healthcare costs.
Surprise Bill Services
State and federal surprise billing regulations add new levels of complexity to the payment of healthcare claims. From identifying surprise bills to offering support during arbitration, Claritev’s services address the entire lifecycle of a surprise bill.
Negotiation Services
Claritev provides comprehensive, clear, and data-driven agreements that help ease the burden of balance billing. Our team of experienced negotiators and support staff bring clarity to the process, with an average turnaround time of just 3.2 days.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations
CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…
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A Single-Vendor Approach May Improve Your Payment Integrity Program
A Single-Vendor Approach May Improve Your Payment Integrity Program Brad Ross Senior Vice President, General Manager Payment & Revenue Integrity, Claritev In 2024, spending…
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Q&A with Kinetiq Health’s Chief Clinical Officer
Sarah Michaels, Chief Clinical Officer of Kinetiq Health, makes the opportunity clear: healthcare can use data to make decisions that lead to better outcomes…
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How can Claritev uncover claims insight to help mitigate risk and lower the cost of care?
Reach out to learn how our solutions can go beyond reducing costs and increasing transparency by enabling affordable care for all.