Pro Pricer®

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

Implementation is easy, especially for payers already accessing two or more of Claritev’s out-of-network solutions.

Customization

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

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.

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Pattern

Reach out to learn how our solutions can go beyond reducing costs and increasing transparency by enabling affordable care for all.