Third Party Administrators
How Claritev helps TPAs reduce costs, streamline operations, and deliver greater value to clients.
Deliver savings. Simplify administration. Strengthen trust.
Third Party Administrators (TPAs) operate in an increasingly complex healthcare environment. Client expenses continue to rise, claim variability remains difficult to predict, and administrative requirements are becoming more demanding over time.
Clients rely on TPAs to control costs while preserving the member experience, all without increasing operational burdens.
We support TPAs with tech-enabled solutions that span pricing, editing, negotiation, and payment. Combining advanced analytics and decades of expertise, Claritev helps you:
• Reduce improper billing and overpayments
• Improve payment accuracy before and after claims are processed
• Streamline electronic payment workflows
• Protect members from balance billing
• Deliver transparent, defensible savings
When you need to expand capabilities without expanding overhead, Claritev becomes an extension of your team.
Featured Solutions
Targeted solutions created to complement and strengthen your existing capabilities.
Claritev Payments
Claritev Payments simplifies payments while helping enhance provider relationships, ensuring scalability and add bottom-line value. From streamlined 1099 demands to enhanced fraud protection and security, we help elevate the payment process from start to finish.
Advanced Code Editing
Advanced Code Editing (ACE) uses intelligent automation and expert clinical review to detect coding errors in both in-network and out-of-network claims.
Financial Negotiations
We help negotiate claim-specific reductions on low- and high-dollar facility and professional claims to help deliver savings reliably and increase affordability.
Expert perspective
Q&A 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 for everyone.
Creating clear paths to value for Third Party Administrators.
Claritev insights, resources, and case studies.
-
Five Shifts Reshaping TPA Cost Management
Our Executive Brief explores five shifts reshaping TPA cost management and what they could mean for TPAs looking to strengthen their role with employers.
Read More -
Claritev Cares Helps Rural Patients Get Critical Care Closer to Home
Grants will support portable diagnostic technology in Illinois and continued access to specialist expertise on Kodiak Island.
Read More -
The Operational Value of Healthcare Pricing Intelligence
Healthcare transparency data offers significant potential, but turning it into actionable insights requires the right strategy. Learn how healthcare pricing intelligence helps organizations improve…
Read More
Are you a TPA looking to expand your offering while simplifying administration for your clients?
Connect with Claritev to explore how integrated negotiation, editing, and payment solutions can strengthen the plans you administer.