Who We Serve
Supporting the healthcare ecosystem with clarity, insight, and measurable impact.
Cost Control
Data Transparency
Healthcare is complex.
Every group experiences that complexity in its own way.
From rising medical costs and regulatory oversight to fragmented data, the need for healthcare clarity remains constant.
Claritev serves organizations across the healthcare landscape to reduce costs, improve access, strengthen payment accuracy, and bring insight to light. With our comprehensive solutions, we help each organization navigate complexity while keeping a keen focus on their unique objectives.
Whether you are advising clients, administering plans, managing networks, or delivering care, Claritev helps bring the precision and perspective needed to move forward strategically.
Solutions and services that span healthcare.
Brokers
Claritev equips brokers with advanced analytics, supplemental modeling, and reference-based pricing solutions that help translate healthcare complexity into defensible strategy and measurable client savings.
Employers
From predictive analytics to network optimization, Claritev helps employers reimagine healthcare ROI and move from reactive cost management to proactive benefits strategy.
Government
Federal and state agencies leverage Claritev’s network, payment integrity, and surprise billing expertise to navigate regulatory complexity and strengthen operational precision.
Health Plans
Claritev supports health plans across the healthcare lifecycle with integrated solutions spanning network performance, claims intelligence, analytics, and revenue integrity.
Hospitals and Health Systems
Through pricing intelligence, negotiation services, and revenue optimization solutions, Claritev helps providers reduce leakage, strengthen contract strategy, and improve financial visibility.
Third Party Administrators
Claritev supports TPAs with integrated negotiation, editing, and payment solutions that aim to expand capabilities without expanding overhead — strengthening trust across every client relationship.
Engaging insights.
Claritev insights, resources, and case studies.
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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…
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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…
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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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Are you looking for greater clarity in an increasingly complex healthcare environment?
Reach out to Claritev to learn how we provide more clarity and less guesswork for all.