Pro Pricer®
The next-generation data solution that can bring clarity to your out-of-network cost management programs.
Pricing Optimization
Cost Management
Data-driven, configurable intelligence that removes the guesswork from cost management.
Out-of-network cost management typically involves weighing savings against health plan member satisfaction. Networks offer protection from balance billing but typically deliver lower savings than more aggressive options.
Claritev’s Pro Pricer can eliminate the guessing game, blending the best of all available solutions and striking a balance between your savings goals and member satisfaction on a claim-by-claim basis.
Clarity and configurability that enables savings.
Implementation
Implementation is easy, especially for payers already accessing two or more of Claritev’s out-of-network solutions.
Customization
Configure Pro Pricer according to your out-of-network cost management goals and preferences, and it can be customized so that it can quickly pivot based on market conditions.
Optimization
With Pro Pricer, our machine learning models are consistently learning over time to adjust based on claims experience, helping to refine pricing decisions and aiming to support improved outcomes in the future.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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Infographic: The Rise of Intelligent Healthcare
Healthcare systems are under growing pressure from inefficiencies and rising costs. This brief explores how strategically embedding responsible AI across the healthcare ecosystem can…
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The Transparency Conundrum
As healthcare pricing becomes more transparent, brokers and employers face new challenges and opportunities. This white paper outlines how to turn data into decision-grade…
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Better Decisions Start Here: How TPAs Can Turn Insight Into Impact
Dallas Scrip draws on decades of experience in the TPA and healthcare space to show how actionable insight—not just transparency—drives smarter decisions, lower costs,…
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How can Pro Pricer help modernize your out-of-network pricing and manage 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.