The Challenge

Property and casualty – Network-based

A workers’ comp services provider needed help maintaining State Certified Managed Care programs by:

  • Eliminating provider coverage gaps in geographies not addressed by its proprietary network
  • Strengthening coverage for key medical specialties

The Solution

Claritev customized a process to meet network access and mandated reporting requirements:

  • MultiPlan Workers’ Compensation Network – adds access to 2,200 additional hospitals and over half a million other providers
  • Customized reporting to assist in maintaining state-specific provider demographic data

The Results

Claritev helped the company maintain certification in three markets, together with:

  • Over $100 million in charges covered annually under the expanded network arrangements
  • Nearly $3 million in annual savings – an additional 7% below bill review reductions