Who We Serve

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.

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.


From predictive analytics to network optimization, Claritev helps employers reimagine healthcare ROI and move from reactive cost management to proactive benefits strategy.


Federal and state agencies leverage Claritev’s network, payment integrity, and surprise billing expertise to navigate regulatory complexity and strengthen operational precision.


Claritev supports health plans across the healthcare lifecycle with integrated solutions spanning network performance, claims intelligence, analytics, and revenue integrity.


Hospitals and Health Systems

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

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.

  • They (Claritev) are continuously refining and developing the platform to meet my needs.

    Dominic Marzolino, National Analytic Consultant

    Insurance Office of America

  • 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…

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  • 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…

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  • 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.

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