Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Meet NSA Compliance

Expand Care Access

Claims Cost Control

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Payment Accuracy

Pricing Transparency

Technology Management

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Cost Clarity & Control

Benefit Utilization

Balance Billing Protection

Better insight leads to better healthcare.

Claritev is committed to bringing transparency to healthcare data, improving quality, transparency, and affordability across the ecosystem.

How We Make A Difference

Securing Client Retention

Enabling Cost Control

Benefit Design Optimization

Driving greater transparency in healthcare.

Powered by 45 years of healthcare data processing, Claritev delivers AI-enabled solutions that improve decisions across the healthcare system.

Making Our Impact Clear

1.4M

Healthcare Providers
Supported

$25B

Potential Savings Identified Each Year

$175B

Medical Charges
Analyzed Annually

Creating Clarity

Everyone is under pressure to do more with less. But the complexities of the healthcare industry, combined with vast amounts of data, make it difficult to clearly see opportunities for improvement. We change that.

What We Do

Turning data into action to deliver results.

Claims Intelligence Solutions

Reducing spend while safeguarding the member experience

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Data & Analytics
Solutions

Delivering actionable insights that can drive sustainable value

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Network
Solutions

Expanding access to care by connecting 1.4 million providers to health plans

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Payment & Revenue Integrity Solutions

Ensuring payment accuracy, recovering revenue, and strengthening relationships

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Professional Services

Helping healthcare organizations sustain, modernize, and implement transformational technology

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Your team is great at building trust. I have had nothing but a positive and efficient experience.

Manager

Large Midwest health plan
These are really important things that we wouldn’t be able to do without a partner like Claritev because, again, we want to look at this stuff holistically across carriers. It would take me four times as long to go into every health plan and do this kind of analysis.

Executive Vice President

Large, regional consulting firm/insurance brokerage
They (Claritev) are continuously refining and developing the platform to meet my needs.

Dominic Marzolino, National Analytic Consultant

Insurance Office of America

Solutions that span healthcare

Claritev brings transparency to healthcare data so organizations can reduce costs, improve quality, and make decisions with confidence.

Brokers

Helping brokers win new business, strengthen renewals, and deliver measurable results.

Employers

Enabling employers to control costs, optimize plan performance, and improve employee outcomes.

Government

Supporting agencies in strengthening program integrity, expanding care access, and improving transparency.

Health Plans

Delivering enterprise financial control through integrated cost optimization and intelligence solutions.

Hospitals & Health Systems

Creating price transparency and transforming operational data into measurable financial performance.

Third Party Administrators

Helping TPAs reduce costs, streamline operations, and deliver greater value to clients.

The State of IDR in 2025: Trends, Market Dynamics, and Strategic Insights for Payers

WHITE PAPER The State of IDR in 2025: Trends, Market Dynamics, and Strategic Insights for Payers Navigating rising dispute volume, provider-favored outcomes, and growing…
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The Next Evolution of Payment Integrity

Move beyond recovering payment errors after they happen. This white paper explores how connected payment integrity, powered by responsible AI and advanced analytics, helps…
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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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Industry Leader Recognition

Claritev has been recognized as a Leader in the Everest Group Pre-payment Integrity Solutions PEAK Matrix® Assessment 2026, highlighting the company’s leadership in connected payment integrity, responsible AI, and technology-enabled solutions that improve payment accuracy.

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Why Pre-payment Integrity Matters More Than Ever

Chief Operating Officer, Jerry Hogge, explores why payment integrity is critical to reducing costs, improving accuracy, and strengthening payer-provider relationships as healthcare claims grow more complex.

Read the Article