On-Demand Webinar: Leveraging Benefits Data Analytics to Reduce Costs and Enhance Employee Wellness
Watch how Claritev helped BASF use their data to reduce costs and increase engagement for their point solutions.
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QPA 101 – Practical Information About Qualifying Payment Amounts and the No Surprises Act
The Qualifying Payment Amount (QPA) plays a significant role in the No Surprises Act (NSA). When managing compliance with the NSA, it is essential to understand what the QPA is and how it impacts payors, providers, and members.
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How Benefits Brokers Can Harness Price Transparency to Drive Change in 2025
Healthcare costs are rising, and employers need brokers who can simplify complexity and drive smarter healthcare decisions. Price transparency tools like MultiPlan’s PlanOptix empower brokers to turn data into actionable insights, reducing costs and boosting client value.
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The No Surprises Act IDR Process: Simplifying the Complex
The No Surprises Act and the IDR process present unique challenges for payors and providers – from an inefficient portal to a shortage of IDR entities and constantly changing rules. In this blog post, we discuss the top 8 challenges we’ve encountered and what you can do to address them.
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Claritev’s Balance Bill Protection™ Service Can Help Alleviate the Stress of Unexpected Charges
Medical bills are a top stressor among patients and most agree that dealing with them is highly stressful and inconvenient. In fact, 56% of patients report that generally medical bills are a leading source of stress. Figuring out these bills is also often hard, which leads to confusion on top of the anxiety about the cost itself. Therefore, balance bills can add another source of stress.
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Biden Administration Releases New Guidance on QPA Calculations and Reopens the Portal for New Disputes
Claritev summarizes the FAQ issued by the Biden administration on October 6, 2023 as well as the reopening of the IDR portal.
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Proposed 2024 Fees for the No Surprises Act Federal IDR Process
On September 20, 2023, the Biden Administration released the first of two pending proposed rules related to the federal IDR process. Claritev discusses it.
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Two Federal Courts Make Rulings on NSA Challenges in Late August
Claritev summarizes changes to NSA regulations and guidance as a result of rulings in TMA3 and AAMS.
