Claims Intelligence Solutions
Data-driven, customizable healthcare cost management solutions that can control costs and make affordability possible.
Cost Containment
Pricing Transparency


With costs rising, transparent and data-backed negotiation are essential.
Escalating costs and surprise bills put pressure on both plans and members. Our Claims Intelligence Solutions can clarify the complex with data-driven negotiations, reference-based pricing solutions, and surprise bill services that can reduce spend and help safeguard the member experience.
Claritev is your complete claims intelligence partner, bringing transparency to opaque healthcare costs by leveraging publicly available data to bring insight to light.
Solutions elevated by expertise and innovation that can make a bottom-line difference for you and potentially lower the cost of care.
Reference- Based Pricing Solutions
Our reference-based pricing (RBP) services offer flexible, cost-effective, data-driven solutions aimed at reducing healthcare costs.
Surprise Bill Services
State and federal surprise billing regulations add new levels of complexity to the payment of healthcare claims. From identifying surprise bills to offering support during arbitration, Claritev’s services address the entire lifecycle of a surprise bill.
Negotiation Services
Claritev provides comprehensive, clear, and data-driven agreements that help ease the burden of balance billing. Our team of experienced negotiators and support staff bring clarity to the process, with an average turnaround time of just 3.2 days.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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Strategic Guide for Responsible AI in Healthcare
The organizations that will lead in healthcare AI are not those that adopt it fastest. They are those that have built the governance foundation…
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On-Demand Webinar: Beyond Recovery: Designing the Next Generation Payment Integrity Program
Recoveries have long defined payment integrity success—but they only tell part of the story. This webinar challenges the traditional recovery-focused approach and introduces a…
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The No Surprises Act at a Crossroads: From Protection to Performance
No Surprises Act independent dispute resolution (IDR) volume is driving healthcare administrative costs—it’s time to shift from policy execution to system optimization. Explore how leaders…
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How can Claritev uncover claims insight to help mitigate risk and lower the cost of care?
Reach out to learn how our solutions can go beyond reducing costs and increasing transparency by enabling affordable care for all.