Network
Solutions
Networks that aim to create clarity, support compliance, and deliver access to care.
Nationwide Access
Flexible Configurations
Nationwide Access. Proven Quality. Flexible by Design.
For more than 45 years, our clients have used Claritev’s networks to provide their members with a variety of commercial and government-sponsored healthcare programs.
With an emphasis on building networks that make care more accessible and affordable, our portfolio includes:
• PHCS® Network — the largest independent national primary PPO accredited for credentialing
• Complementary networks
• Government networks
• Network management services
Across all our network solutions, we give payers, third-party administrators (TPAs) and employers access to the nation’s largest independent NCQA-accredited PPO network and 1.4 million credentialed providers for nationwide reach. We aim to deliver flexible network configuration options for primary, complementary, and government networks for predictable savings and seamless access for multistate and dispersed populations.
Our network solutions are strengthened by our integrated Payment and Revenue Integrity solutions and fast, modern provider data operations, enabling organizations to simplify network administration, improve member experience, and control healthcare costs with confidence — without sacrificing access or quality.
Nationwide Scale
4,700
hospitals
91K
ancillaries
1.4M
providers
What makes Claritev the clear choice for network solutions?
Provider Access — Extensive and High-Quality
- National or regional
- Specialties & Facilities
- Credentialed for quality
- Most directly contracted
- Extensive fixed-fee contracts
Technology and Service
Accurate and Supported
- Pricing accuracy & integrity
- Same-day turnaround time
- Data quality
- Directory & search tools
- Demographic data extracts
- Plan, provider & member service
Network Flexibility
Accelerates Speed to Market
- Primary or complementary
- Off-the-shelf or custom
- Full, partial or conditional access
- Stackable & tierable
Our network building expertise and flexibility are excellent for traditional or more innovative network designs.
Primary Network Solutions
Tailored primary PPOs for national, regional and state-specific needs — featuring the PHCS® network.
Complementary Network Solutions
Extend access and provide predictable, cost-effective care without rebuilding your primary network — with the MultiPlan Complementary Network, ValuePoint® and regional extender network solutions.
Government Network Solutions
Includes Medicare Advantage and Medicaid-ready solutions with off-the-shelf Medicare Advantage access, and services to expand access and meet adequacy, including network builds that comply with CMS and state-specific regulations.
Engaging insights.
Claritev insights, resources, and case studies.
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Strategic Guide: The Operational Value of Healthcare Pricing Intelligence
Healthcare transparency data offers significant potential, but turning it into actionable insights requires the right strategy. Learn how healthcare pricing intelligence helps organizations improve…
Read More -
Rethinking Payment Integrity: Why Prevention Is a Strategic Advantage
Stopping overpayments before they occur can generate significantly greater value than recovering them after the fact. Explore the advantages of pre-pay payment integrity programs…
Read More -
Beyond Cost Containment
Learn how TPAs can improve affordability, scale efficiently, and make better decisions with connected infrastructure that drives growth, efficiency, and long-term profitability.
Read More
Want to join our network?
Claritev supports providers with deep expertise
and powerful data solutions.
How can Claritev help you design a network that improves member access and cuts out-of-network spend?
Learn how Claritev delivers the flexibility and nationwide reach you need to build credentialed, cost-effective access.