Insights
Creating clarity through solution education and thought leadership.
On-Demand Webinar
In our webinar, Final Rule — Navigating NSA Independent Dispute Resolution Operations, we break down the final rule and explore what it may mean for payers, providers, and other stakeholders involved in the IDR process…
Explore Healthcare Transparency Insights
Access objective, actionable insights that bring clarity to healthcare transparency and support more informed decisions.
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The No Surprises Act at a Crossroads: From Protection to Performance
No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it’s time to shift from policy execution to system optimization. Explore how leaders…
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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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Infographic: The Rise of Intelligent Healthcare
Healthcare systems are under growing pressure from inefficiencies and rising costs. This brief explores how strategically embedding responsible AI across the healthcare ecosystem can…
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Explore All Insights
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You’ll Never Believe What Our Payment Integrity Team Finds
As a part of Claritev’s Payment Integrity service, we review claims…
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PlanOptix: Providing Innovative Healthcare Price Transparency
In the ever-evolving healthcare landscape, price transparency has emerged as a…
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Coordination of Benefits for Claims Involving Newborns Takes Special Skills for Success
Coordination of Benefits (COB) review for healthcare payors involves more investigation…
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Use of the IDR Process to Settle NSA Disputes Is Greater Than Anticipated
A little more than a year after launching the No Surprises…
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PHCS Network Brings Stability and Flexibility to an Evolving Market
Claritev’s PHCS Network is the largest independent, nationwide primary preferred provider…
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What Does the End of the Public Health Emergency Mean for Healthcare Payors?
On January 30, 2023, approximately three years after the COVID public…
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Certified IDR Entities Have Been Instructed to Hold All Payment Determinations Until Further Guidance Is Issued
CMS directed certified IDR entities to pause all payment determinations for…
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Determining Whether a Dispute Is Eligible for IDR Is Complicating the Process
More than a year after the No Surprises Act (NSA) took…
How can we help you simplify complexity?
Reach out to Claritev to learn how our solutions go beyond saving you money and increasing transparency to enable affordable care for all.