Analytics-Based Services
Data-driven, customized healthcare cost management solutions
Tailored Solutions for Non-Contracted Savings
Negotiated agreements
Savings with No Balance Billing
Comprehensive- defensible, and data-driven agreements that help ease the burden of balance billing.
- 450 negotiators and support staff
- Turnaround in 3.2 days on average
- Portal and fax options for provider response and signoff
Reference Based Pricing
Our reference-based pricing services offer flexible, cost-effective, data-driven solutions for reducing healthcare costs.
- Inpatient and outpatient pricing using geographically adjusted, publicly-available data that may be integrated with usual and customary charges
- Medicare-based pricing with a variety of options for addressing pricing gaps
Optimized pricing
Let our AI eagle-eye, Pro Pricer™, remove the guesswork from your out-of-network cost management program.
- Leverages 40+ years of data and experience
- Wide range of pricing options
- Customizable for client-specific rules
- Flexible to quickly pivot if market conditions change
- Integrated payment accuracy analytics and processes
- Easy to implement
Offer an advantage for surprise bills
Claritev uses our analytics-based services to price surprise bills and leverages reimbursement data from millions of claims repriced through these services and accepted by providers to assist in negotiations and calculate offers for arbitration when necessary.
Maximizing healthcare savings
Flexibility at its best
In today’s economic environment, priorities shift between maximizing healthcare savings and satisfying health plan members. Claritev offers a range of data analytics-driven healthcare cost management services that can be arranged and combined to help you strike the right balance not only today, but also when priorities shift tomorrow.
Satisfying health plan members
Analytics-Based Services at a glance
More than
Delivering savings with member protections on more than
Unique position, different approach
Claritev’s data-driven healthcare cost management services work with — or in place of — healthcare provider networks so you can align your strategies to fit the current economy. Do you need help preparing for the next market shift?
