Contact

Solution Area: Claims Intelligence

  • Older woman with gray hair looking shocked and concerned while reading a paper document — surprise medical billing concept

    Surprise Billing and the Impact for Payors

    Surprise billing has created significant challenges for healthcare payors, increasing costs and administrative complexity. The No Surprises Act aims to protect patients while shifting payment disputes to payors and providers, making it essential for organizations to understand its impact on reimbursement, negotiations, and the overall claims process.

    Learn More
  • Female and four males at conference table with handshake

    Case Study: Strategic negotiations

    A large healthcare carrier faced the challenge of enhancing protection against balance billing while preserving the cost advantages of its reimbursement model. Through strategic negotiation parameters—balancing provider incentives and member value—Claritev delivered more transparent agreements, achieving significantly higher savings with minimal impact on negotiation success rates.

    Learn More