Partner with Claritev to identify, correct and prevent waste and abuse on healthcare claims

Healthcare costs in the U.S. market continue to soar, reducing access to care, placing financial hardships on patients, and putting a strain on all types of healthcare payors. Waste is a significant contributor to the prohibitive costs.  Industry experts estimate that as much of  25% of healthcare spending is wasteful.

Claritev has a suite of payment and revenue integrity solutions that fight waste and abuse over a claim’s lifecycle.

Overviews of our solutions

Payment and Revenue Integrity Services Overview

Comprehensive PIRI Solutions

Pre-Payment Integrity Solutions

Advanced Code Editing

Itemized Bill Review

Post-Payment Integrity Solutions

Coordination of Benefits

Subrogation Software

Subrogation

Data Mining

Revenue Integrity Solutions

Medicare Secondary Payer

Breakdown in the ESRD Process Can Cost

Nothing contained herein constitutes, or is intended to constitute, legal advice from Claritev. Claritev does not determine benefits availability and does not exercise any discretion or control as to benefit plans’ regulatory compliance or benefit plan assets, with respect to policy, payment, interpretation, practices or procedures. Plan sponsors retain full and final authority to exercise discretion for their benefit plan designs, changes to benefit plans and their operations.