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
1.4 million
healthcare providers we support
100k+
employers and sponsors we serve, reaching 60 million consumers
$25 Billion
in potential savings each year we identify
175 billion
in medical charges we analyze 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
WHITE PAPER
Reference-Based Pricing: Redefining Healthcare Costs
WHITE PAPER
Standardizing the Quality of Healthcare Cost Transparency Data
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
VIDEO
Turning Price Transparency into Strategic Advantage
Real World Impact
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.