Solutions
Reduce costs, improve access, and illuminate insight across the healthcare ecosystem.
Cost Optimization
Data-Driven Insight

Bringing Clarity to Data Chaos
The complexities of the healthcare industry, combined with vast amounts of data, make it difficult to clearly see opportunities for improvement and to make the best decisions.
Claritev applies AI-driven analytics and decades of experience to make cost, pricing, and payment dynamics easier to understand and navigate.
When decisions are grounded in clear, objective insight, the healthcare system works better – leading to greater affordability, fewer surprises, and better outcomes for patients.
Transforming healthcare data into
actionable insights and outcomes.
Claims Intelligence Solutions
Escalating costs and surprise bills put pressure on both plans and members. Our Claims Intelligence Solutions clarify the complex with expert negotiation, reference-based pricing solutions, and surprise-bill services that help reduce spend and safeguard the member experience.
Data & Analytics Solutions
Waste and inaccurate payments can drive up health expenditures. We work to bring clarity to the process by promoting accuracy, recovering revenue, and strengthening provider relationships – helping reduce waste and abuse across the healthcare ecosystem.

Network Solutions
With rigorous credentialing and over 1.4 million participating providers, we aim to expand nationwide access to high-value care and lower out-of-pocket costs for patients. At the same time, we aim to help providers strengthen cash flow and extend their reach across a diverse base of payers.
Payment & Revenue Integrity Solutions
Increased waste and inaccurate payments continue to drive up health expenditures. We bring clarity to the process by ensuring accuracy, recovering revenue, and strengthening provider relationships – helping to reduce waste and abuse across the healthcare ecosystem.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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How Carlinville Hospital Improved Financial Performance Through Denial Visibility, Revenue Cycle Prioritization, and Operational Alignment
See how Carlinville Area Hospital improved denial visibility, strengthened revenue cycle priorities, and aligned financial and operational goals to drive better performance.
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Tried and True, but Better: Building a Modern Network Strategy
Tried and True, but Better: Building a Modern Network Strategy David Murtagh discusses how flexible, data-driven network strategies can help self-funded plans deliver greater…
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Medicare Advantage Expansion Strategy
Explore a practical framework for evaluating Medicare Advantage expansion opportunities, assessing network feasibility, and making more informed go/no-go decisions.
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Seeking clarity to inform your complex decisions?
Reach out to Claritev to learn how our solutions go beyond reducing costs and increasing transparency to enabling affordable care for all.