Network
Solutions
Networks that aim to create clarity, support compliance, and deliver access to care.
Nationwide Access
Flexible Configurations
Nationwide Access. Proven Quality. Flexible by Design.
For more than 45 years, our clients have used Claritev’s networks to provide their members with a variety of commercial and government-sponsored healthcare programs.
With an emphasis on building networks that make care more accessible and affordable, our portfolio includes:
• PHCS® Network — the largest independent national primary PPO accredited for credentialing
• Complementary networks
• Government networks
• Network management services
Across all our network solutions, we give payers, third-party administrators (TPAs) and employers access to the nation’s largest independent NCQA-accredited PPO network and 1.4 million credentialed providers for nationwide reach. We aim to deliver flexible network configuration options for primary, complementary, and government networks for predictable savings and seamless access for multistate and dispersed populations.
Our network solutions are strengthened by our integrated Payment and Revenue Integrity solutions and fast, modern provider data operations, enabling organizations to simplify network administration, improve member experience, and control healthcare costs with confidence — without sacrificing access or quality.
Nationwide Scale
4,700
hospitals
91K
ancillaries
1.4M
providers
What makes Claritev the clear choice for network solutions?
Provider Access — Extensive and High-Quality
- National or regional
- Specialties & Facilities
- Credentialed for quality
- Most directly contracted
- Extensive fixed-fee contracts
Technology and Service
Accurate and Supported
- Pricing accuracy & integrity
- Same-day turnaround time
- Data quality
- Directory & search tools
- Demographic data extracts
- Plan, provider & member service
Network Flexibility
Accelerates Speed to Market
- Primary or complementary
- Off-the-shelf or custom
- Full, partial or conditional access
- Stackable & tierable
Our network building expertise and flexibility are excellent for traditional or more innovative network designs.
Primary Network Solutions
Tailored primary PPOs for national, regional and state-specific needs — featuring the PHCS® network.
Complementary Network Solutions
Extend access and provide predictable, cost-effective care without rebuilding your primary network — with the MultiPlan Complementary Network, ValuePoint® and regional extender network solutions.
Government Network Solutions
Includes Medicare Advantage and Medicaid-ready solutions with off-the-shelf Medicare Advantage access, and services to expand access and meet adequacy, including network builds that comply with CMS and state-specific regulations.
Engaging insights.
Claritev insights, resources, and case studies.
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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…
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A Single-Vendor Approach May Improve Your Payment Integrity Program
A Single-Vendor Approach May Improve Your Payment Integrity Program Brad Ross Senior Vice President, General Manager Payment & Revenue Integrity, Claritev In 2024, spending…
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Q&A with Kinetiq Health’s Chief Clinical Officer
Sarah Michaels, Chief Clinical Officer of Kinetiq Health, makes the opportunity clear: healthcare can use data to make decisions that lead to better outcomes…
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How can Claritev help you design a network that improves member access and cuts out-of-network spend?
Learn how Claritev delivers the flexibility and nationwide reach you need to build credentialed, cost-effective access.