Itemized Bill Review
Catch and correct billing errors on high-dollar facility claims before payment.
Charge Accuracy
Cost Containment
Avoid pay and chase situations with a solution that can find errors on over 98% of reviewed claims.
Reviewing inpatient claims before payment can be complex and resource-intensive, which is why many health plans end up paying high-dollar claims without full visibility into billing details. That lack of insight can lead to unnecessary overpayment. Claritev’s pre-payment Itemized Bill Review solution can help close that gap by taking a closer look before payment is made.
We compare facility charges against your specific payer guidelines, contracts, and coverage policies, along with national coding and billing standards, such as those from CMS, to help identify charges that should not have been billed.
Making Our Impact Clear
98%
Of the high-dollar claims we review have charges that should not have been billed
17%
Average savings per high-dollar claim review
<1%
Of reductions are disputed
How Itemized Bill Review can make a difference.
Claritev’s IBR solution strives to:
Reduce medical spend.
Ease internal resource constraints.
Increase accuracy based on repeatable findings.
Eliminate pay-and-chase efforts.
Curtail provider abrasion.
Identifies hospitals with high prevalence of aggressive billing.
Claritev’s technology delivers a competitive advantage.
Itemized bills are often delivered as long, multi-page PDFs that make reviews slow and manual. Our digitization technology can quickly convert information into an analyzable format, allowing us to review more claims, help uncover more errors, and deliver greater savings to you.
Customized solutions tailored to your unique needs.
We know every client’s needs are different, so we tailor our Itemized Bill Review solution to fit how you work, delivering an average 17% savings per high-dollar claim reviewed. You can choose a fully hands-off approach and let us manage the entire process, or stay involved by selecting eligible claims, pending them for review, or having us use analytics to identify the best candidates.
You can also obtain the itemized bills yourself or rely on Claritev to do it for you. Either way, you can stay in control.
Creating clear paths to value.
Claritev insights, resources, and case studies.
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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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On-Demand Webinar: No Surprises Act 2026 – IDR Trends & Cost Pressures
Stay ahead of the evolving No Surprises Act landscape with expert insights into what 2026 means for payers. As IDR activity increases and cost…
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How can Claritev help deliver clarity and savings through Itemized Bill Review?
Learn how Claritev can help you improve payment accuracy and eliminate wasteful spending.