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Payment Integrity Solutions

Intelligent solutions that help drive payment accuracy and savings across the entire claims lifecycle.

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Payment Accuracy

Cost Recovery

We aim to bring clarity and efficiency to eligibility and claims analysis, so they are processed correctly the first time.

Given the challenges healthcare organizations are up against, the ability to quickly and successfully identify errors in healthcare claims has never been more important.

Our approach to payment and revenue integrity is not as a vendor, but as a partner. With services and solutions that span the claims lifecycle and fully customizable solutions to meet your specific needs, we aim to provide long-term transparency that helps reduce waste. We don’t employ one-size-fits-all strategies, and we proactively strive to minimize provider abrasion, aiming for low appeal rates and meaningful savings.

5%

Average Savings

30M+

Code Combinations

Industry Leader Recognition

Claritev has been recognized as a Leader in the Everest Group Pre-payment Integrity Solutions PEAK Matrix® Assessment 2026, highlighting the company’s leadership in connected payment integrity, responsible AI, and technology-enabled solutions that improve payment accuracy.

Read the Press Release

Why Pre-payment Integrity Matters More Than Ever 

Chief Operating Officer, Jerry Hogge, explores why payment integrity is critical to reducing costs, improving accuracy, and strengthening payer-provider relationships as healthcare claims grow more complex.

Read the Article

Our payment integrity solutions help you achieve payment accuracy across the claims lifecycle.

Pre-Payment Integrity

Pre-Payment Integrity

Whether the claim is for a low-dollar doctor’s visit, a costly hospital stay, or something in between, Claritev has a pre-payment integrity solution to identify potential errors.

Pre-payment solutions include:

  • 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

Engaging insights.

New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.

  • Illustration representing healthcare affordability and decision-making, featuring a profile with a gear icon, medical document, stethoscope, and cost symbols to highlight healthcare network strategy and price transparency.

    The Connection Between Better Decision-Making and Healthcare Affordability

    Healthcare affordability and access are often viewed as competing priorities—but they don’t have to be. By leveraging data-driven insights, network strategy, and greater price…

    Read More
  • Illustration of a hiker with a backpack walking toward a mountain peak with a flag at the summit, symbolizing achievement, leadership, progress, and reaching strategic goals.

    Why Pre-payment Integrity Matters More Than Ever

    Claritev’s recognition as a Leader in Everest Group’s 2026 Pre-payment Integrity Solutions PEAK Matrix® Assessment highlights its decades of expertise helping health plans improve…

    Read More
  • Executive brief on healthcare price transparency strategies, highlighting five considerations for turning transparency data into value through network optimization, rate normalization, and affordability insights.

    Five Considerations for Turning Transparency into Value

    Learn five essential strategies for operationalizing healthcare price transparency data, from rate normalization and site-of-care insights to network optimization and affordability-focused decision-making.

    Read More
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Seeking clarity to inform your complex decisions?

Reach out to Claritev to learn how our solutions aim to go beyond improving affordability and increasing transparency to enabling affordable care for all.

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