Revenue Integrity
Translating data into potential action with
innovative and effective premium restoration solutions.
Revenue Protection
Data-Driven Approach
End-to-end revenue integrity solutions, powered by data and amplified through experience.
When premiums don’t align with membership data, the path to revenue can become opaque. Claritev’s Revenue Integrity solutions bring clarity to this complexity for Medicare Advantage plans. Our solution can work to recover premium dollars already earned while helping to prevent future underpayments.
We take a partnership-oriented approach to improving revenue integrity, prioritizing transparency as our team works to identify issues, coordinate updates, and reconcile adjustments.
With deep experience navigating CMS processes and a focus on bringing insight to light, we can help restore revenue, reduce friction, and bring confidence back to premium payments.
What’s new in revenue integrity:
Potentially Restoring millions for your Medicare Advantage plan
Correctly paid Medicare Advantage premiums are a critical source of revenue for many health plans. Incorrectly paid premiums can result in millions of dollars in lost revenue. Download our eBook to find out how you can take charge of your premium revenue.
Supporting revenue integrity with data-driven solutions and expertise.
Medicare Secondary Payer Validation
Claritev’s MSP Validation solution helps Medicare Advantage plans quickly correct MSP inaccuracies, resolve primacy errors, and recover millions in underpaid premiums using secure, CMS-ready technology and expert support.
End-Stage Renal Disease Premium Restoration
Our ESRD Premium Restoration solution helps Medicare Advantage plans identify members with missing or inaccurate ESRD status, validate documentation, and recover underpaid premiums through advanced analytics, CMS collaboration, and a transparent, results-driven approach.
Engaging insights.
Claritev insights, resources, and case studies.
-
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 help create clarity and transparency in an effort to improve revenue integrity?
Learn how Claritev can help maximize recoveries and prevent overpayments with data-driven solutions.