No Surprises Act
(NSA) Solution
Empowering health plans, TPAs, and employers with clarity on a complex set of rules and processes.
Regulatory Confidence
Arbitration Support
End-to-end surprise bill solutions attuned to the new levels of NSA complexity.
The No Surprises Act overhauled the way surprise bill payments were handled. While it has been successful in limiting out-of-pocket expenses for patients when they don’t have a choice, it’s also increased the administrative costs you incur trying to reach fair, transparent pricing.
Claritev is here to lessen that burden with end-to-end surprise bill services that simplify adherence and can be configured to your unique needs to help improve your bottom-line.
Leveraging our deep data science and negotiation expertise, we act as your advocate, working with your organization to transparently arrive at the right solution.
How Claritev helps you approach NSA rules with confidence.
Decisions empowered
by insights.
We help reduce arbitrations with strategic surprise bill claim pricing, leveraging a variety of methodologies and machine learning-driven recommendations.
Simplifying the process.
Claritev has extensive experience and continues to invest in driving fair and achievable processes, which aim to lessen our clients’ administrative burdens.
Flexibility to fit any program.
We take a configurable approach to surprise bill solutions that allows us to meet your evolving needs. Whether you need our end-to-end solution or need us to fill a gap in your program, we’re on your side.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
-
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…
Read More -
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…
Read More -
On-Demand Webinar: Final Rule – Navigating NSA Independent Dispute Resolution Operations
CMS’s latest IDR Operations Final Rule brings important changes to the No Surprises Act dispute process. This webinar highlights key updates, workflow impacts, and…
Read More
How can Claritev bring clarity and peace of mind in navigating the NSA rules?
Reach out to learn how our solutions go beyond reducing costs and increasing transparency to enabling affordable care for all.