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Healthcare data will always be complex. But with our proprietary AI engine and data analytics, Claritev is quickly delivering the people-first insights that organizations need to move forward with confidence.
Claritev provides tech-enabled solutions and services fueled by multiple publicly available data sources plus over 40 years of claims repricing experience. Today, we utilize world-class technology and AI solutions to power a robust enterprise platform that delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefit plan design.
Our Solutions
For Brokers and Employers
Design smarter benefit structures with real-time analytics and customizable reports that enhance the value to employees while controlling costs.
For Brokerages and Advisors
Design smarter benefit structures with real-time analytics and customizable reports that enhance the value to employees while controlling costs.
For Providers
Improve operational efficiency and decision-making with automated risk assessment and insights for corrective action.
For Brokers and Employers
Lower healthcare costs and improve member support by innovatively integrating reference-based pricing with custom provider networks.
Complementary to Lines of Business
Optimize billing accuracy and reduce waste and abuse in the system to lower overall cost of care.
For Patients & Consumers
Reduce medical cost using services that negotiate or determine a fair reimbursement – when a patient seeks care from an Out-of-Network provider
For Patients & Consumers
Provide access to a network of 1.4M credentialed providers, who have contracted to reduce fees with no balance billing.
THE DATA | THE INSIGHTS | THE NETWORKS | THE PEOPLE
With a Net Promoter Score of 73, Claritev stands out as a trusted partner in healthcare analytics. Our client roster includes industry leaders who rely on our spirited collaboration and innovative solutions.
We’ve built enduring relationships with our valued clients over the last 40 years. Their feedback and testimonials reflect our continued dedication to improving the way healthcare is managed and delivered. Because behind every data point is a person.
Our team brings payment and pricing insights into focus for payers, providers, employers and patients. We’ve identified billions of dollars in potential operational savings, helped lower out-of-pocket costs for millions of patients, and eliminated balance billing on millions of claims.
A journey toward a better healthcare experience begins by improving transparency. WIth tech-enabled solutions, proprietary data, and unmatched expertise, we are able to shine a light on pricing, performance, and resources to optimize efficiency and access.
Integrate clinical and financial data for a comprehensive view of provider performance. Our customizable reports empower brokers and employers to make informed, data-backed choices to positively impact outcomes.
Blog
See what we’re seeing. Stay updated with our latest healthcare insights.
Get an inside look at the future of healthcare as Claritev CEO Travis Dalton joins the NYSE The Cure(ious) video series to discuss rising costs, data transparency, and the leadership needed to drive meaningful change.
See how a critical access hospital strengthened its pricing transparency strategy using data-driven insights and provider-focused analytics.
