Post-Payment Integrity
Data-driven solutions aimed at maximizing recoveries and helping prevent future overpayments.
Recovery Optimization
Advanced Technology
Uncovering payment issues to help enable accurate and efficient recoveries.
Claritev’s post-payment integrity solutions help address payment errors and prevent the same issues from recurring. We identify claims with issues, translate data insights into potentially meaningful recoveries, and help enable smarter payment decisions in the future.
We act as a collaborative partner, not a vendor, tailoring post-payment solutions to your goals while working to minimize provider abrasion.
Through clarity and transparency, our goal is to:
Reduce waste
Improve payment accuracy
Make a lasting financial impact
Supporting post-payment integrity with data-driven solutions and deep experience.
Coordination of Benefits
Our COB solution uses advanced analytics and professional reviews to help bring clarity to complex coverage situations by accurately identifying primary and secondary payers in an effort to prevent overpayment and deliver greater recoveries.
Subrogation
Objective analytics, machine learning, and end-to-end workflow support work together to identify high-value recovery opportunities, while trying to eliminate low-potential cases, and deliver greater recoveries with full transparency.
Data Mining
Claritev’s Data Mining solution leverages advanced technology coupled with human review aimed at uncovering overpayments , which can potentially drive recoveries and turn data insights into ongoing cost prevention.
Specialty Claim Reviews
Specialty Claim Reviews are a comprehensive suite of solutions that perform targeted specialty claim reviews to identify inaccuracies, help confirm appropriate billing, and support improved payment integrity across the most impactful claims, including those for medical devices and implants, hospital bills, and more.
Engaging insights.
New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.
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How Claritev helps bring clarity and integrity to your post-payment processes?
Learn how Claritev can help maximize recoveries and prevent overpayments with data-driven solutions.