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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Beyond Cost Containment
Learn how TPAs can improve affordability, scale efficiently, and make better decisions with connected infrastructure that drives growth, efficiency, and long-term profitability.
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It’s Time to Take Avoidable Costs Out of Healthcare
For too long, healthcare has treated cost as a problem to solve after care is delivered. The future of affordability depends on understanding costs…
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No Surprises Act Updates and Strategies to Drive Operational Improvements
The No Surprises Act continues to evolve, creating new operational challenges and opportunities for healthcare organizations. Explore the latest 2026 IDR trends, Final Rule…
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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.