More clarity, less guesswork

Claritev is dedicated to creating better healthcare technology solutions.

About Claritev

Claritev provides tech-enabled solutions and services fueled by multiple data sources from over 40 years of claims repricing experience. Our world-class technology and AI solutions delivers meaningful insights to drive affordability in healthcare, brings price transparency and optimizes networks and benefit plan design.

Increasing affordability

Our payment and pricing insights help lower out-of-pocket costs, and eliminate balance billings for millions of claims

Prioritizing transparency

Our tech-enabled solutions and proprietary data improve transparency in pricing and performance

Elevating quality

With a comprehensive view of
provider performance, we
empower brokers and
employers to make informed,
data-backed choices

Clarity by the Numbers

We support

0 million

healthcare providers

We serve

99960 +

employers and sponsors, reaching 60 million consumers

We identify

$ 15 Billion

in potential savings each year

We analyze

170 billion

in medical charges annually

See how Claritev is creating more clarity in healthcare

Our solutions

Your bridge between data and actions

Payment & Revenue Integrity Solutions

For Payers

Optimize payment accuracy and reduce waste and abuse in the system to lower overall cost of care.

Claims Intelligence Solutions

For Payers, Employers, and Consumers

Control rising healthcare spend by aligning out-of-network payments with fair, reference-based pricing while maintaining surprise billing compliance.

Network-Based Solutions

For Payers and Consumers

Provide access to a network of 1.4M credentialed providers, who have contracted to reduce fees with no balance billing.

Data & Analytics Solutions

For Brokers, Employers, Providers, and Payers

Transform clinical and financial data into strategic, actionable insights that empower decision-making to positively impact the bottom line.

BenInsights®

For Brokers and Employers

Design smarter benefit structures with real-time analytics and customizable reports that enhance the value to employees while controlling costs.

VistaraTM

For Brokers, Employers, and Consumers

Control of rising healthcare costs with a reference-based pricing model with a propriety network that delivers transparency, cost savings, and value.

Insights & Resources

WHITE PAPER

Data to Dollars: How
Analytics
is Driving Provider
Wins and Revenue

WHITE PAPER

Surprise Billing: 2024
Independent Dispute
Resolution (IDR)
Performance

EBOOK

Reference-Based
Pricing:
Redefining
Healthcare Costs

WHITE PAPER

Standardizing the
Quality of Healthcare
Cost Transparency
Data

Real World Impact

CASE STUDY

A Rural Hospital’s Path to
Improving Reimbursements
and Price Transparency

CASE STUDY

Enhanced Analytics Reveal
Opportunities for Proactive
Wellness Interventions

Watch & Learn

VIDEO

Introduction to Claritev

VIDEO

Surprise Billing Services

WEBINAR

Turning Price Transparency into Strategic Advantage

Feature

Meet PGA TOUR Pro Neal Shipley

Claritev is proud to sponsor Neal Shipley in his inaugural first season as a PGA TOUR pro. With a background in data analytics, Neal is the perfect ambassador for Claritev and our data-based approach. Already one of the most exciting amateurs in the sport, we wish Neal continued success in his professional career.

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