Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Smiling older woman with short gray hair wearing blue medical scrubs, arms crossed

Payment Integrity

Expand Care Access

Claims Cost Control

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Payment Accuracy

Pricing Transparency

Technology Management

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Man with glasses and a beard in a light gray sweater, smiling while holding a tablet

Cost Clarity & Control

Benefit Utilization

Balance Billing Protection

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Securing Client Retention

Risk Mitigation

Benefit Design Optimization

Driving greater transparency in healthcare.

Powered by 45 years of healthcare data processing, Claritev delivers AI-enabled solutions that improve decisions across the healthcare system.

We work to help make healthcare transparent and affordable for all.

$175B

Medical Charges Analyzed Annually

$25B

Potential Savings Identified Each Year

$27M

Medical Claims Processed Each Month

Creating Clarity

Everyone is under pressure to do more with less. But the complexities of the healthcare industry, combined
with vast amounts of data, make it difficult to clearly see opportunities for improvement. We change that.

What We Do

Turning data into action to deliver results.

Professional Services

Comprehensive services that translate healthcare technology into measurable operational and economic value.

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Payment & Revenue Integrity Solutions

Ensuring payment accuracy, recovering revenue, and strengthening relationships

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Explore All Solutions

You have been a great partner from day one. You collaborate with us until we find a resolution. We look forward to a long-standing partnership.

Payment Integrity and Performance Manager

Solutions that span healthcare.

Claritev brings transparency to healthcare data so organizations can reduce costs, improve quality, and make decisions with confidence.

Health Plans

Helping health plans control spend, strengthen networks, and ensure payment accuracy while enabling affordable care with objective, market-based insight.

Hospitals & Health Systems

Partnering with hospitals and health systems to provide access to
networks and solutions that improve access, reduce administrative friction, and support high-quality care.

Government

Providing scalable solutions that help navigate rising costs, strict regulatory requirements, and growing demands for access to government healthcare programs.

On-Demand Webinar: Beyond Recovery: Designing the Next Generation Payment Integrity Program

Recoveries have long defined payment integrity success—but they only tell part of the story. This webinar challenges the traditional recovery-focused approach and introduces a…
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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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On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations

CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…
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