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.
-
The Connection Between Better Decision-Making and Healthcare Affordability
Healthcare affordability and access are often viewed as competing priorities—but they don’t have to be. By leveraging data-driven insights, network strategy, and greater price…
Read More -
Why Pre-payment Integrity Matters More Than Ever
Claritev’s recognition as a Leader in Everest Group’s 2026 Pre-payment Integrity Solutions PEAK Matrix® Assessment highlights its decades of expertise helping health plans improve…
Read More -
Five Considerations for Turning Transparency into Value
Learn five essential strategies for operationalizing healthcare price transparency data, from rate normalization and site-of-care insights to network optimization and affordability-focused decision-making.
Read More
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.