Who We Serve

Cost Control

Data Transparency

Healthcare is complex.
Every group experiences that complexity in its own way.

From rising medical costs and regulatory oversight to fragmented data, the need for healthcare clarity remains constant.

Claritev serves organizations across the healthcare landscape to reduce costs, improve access, strengthen payment accuracy, and bring insight to light. With our comprehensive solutions, we help each organization navigate complexity while keeping a keen focus on their unique objectives.

Whether you are advising clients, administering plans, managing networks, or delivering care, Claritev helps bring the precision and perspective needed to move forward strategically.

Solutions and services that span healthcare.

Claritev equips brokers with advanced analytics, supplemental modeling, and reference-based pricing solutions that help translate healthcare complexity into defensible strategy and measurable client savings.


From predictive analytics to network optimization, Claritev helps employers reimagine healthcare ROI and move from reactive cost management to proactive benefits strategy.


Federal and state agencies leverage Claritev’s network, payment integrity, and surprise billing expertise to navigate regulatory complexity and strengthen operational precision.


Claritev supports health plans across the healthcare lifecycle with integrated solutions spanning network performance, claims intelligence, analytics, and revenue integrity.


Hospitals and Health Systems

Hospitals and Health Systems

Through pricing intelligence, negotiation services, and revenue optimization solutions, Claritev helps providers reduce leakage, strengthen contract strategy, and improve financial visibility.


Third Party Administrators

Third Party Administrators

Claritev supports TPAs with integrated negotiation, editing, and payment solutions that aim to expand capabilities without expanding overhead — strengthening trust across every client relationship.

  • They (Claritev) are continuously refining and developing the platform to meet my needs.

    Dominic Marzolino, National Analytic Consultant

    Insurance Office of America

  • 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…

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  • 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.

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  • Future-State Success Depends on Present-State Stability

    During an EHR transition, the biggest risk often isn’t the future-state platform—it’s the current-state environment that continues to power patient care, clinical workflows, revenue…

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