ClarisHealth Payment Integrity Performance Dashboard Pareo

Level up your health plan’s payment integrity results.

All your people, processes and data. All together on one platform.

One Platform. Maximum Opportunity

How are you meeting escalating recovery targets? Pareo® is the industry’s only enterprise A.I.-enabled payment integrity platform that maximizes health plan avoidance and recoveries at the most optimized cost. With all of your claims overpayment processes, analytics and insights at your fingertips, what goals could you reach?

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SO or Any Module_Recovery Posting (opened batch)

Complex systems and processes limit your health plan’s potential. You need a solution-oriented partner who understands where the payment integrity industry is headed next.

Why ClarisHealth?

Health Plans Achieve 10x ROI with Pareo

%

Increase in auditor productivity

%

Rate of avoidance and recovery relative to claim spend

%

Improvement in prepay cost avoidance

How We Help Health Plans

What are ClarisHealth Clients Saying?

"ClarisHealth is an industry leader in health plan technology and has created the standard for how payment integrity administrative platforms should work.”

Director of Payment Integrity Operations & Recoveries, Blue Cross Blue Shield Plan

“Key for us was working with ClarisHealth to help design and build a solution that works for both of us. We knew we couldn't have just a canned solution that we had to make our process fit that. We had to have a partner who was willing to customize and really understand our process and build the solution around that.”

Kurt Spear, VP Financial Investigation and Provider Review, Highmark Blue Cross Blue Shield

“Pareo is our single source of truth. For my investigator meetings, I can quickly narrow down to the cases I want to discuss. For the weekly lead and case progress reports I send to clients, we narrowed down the statuses from 30-plus free text to five or six. It's much easier to go into Pareo, download to the spreadsheet, filter and create the roll-up report of what they need to see.”

Senior Director, Program Integrity, Regional Third-Party Administrator

“Pareo® not only allowed us to scale up our third-party supplier program but also gave us the data insights to identify underserved product lines so we could focus our efforts. As a result, we have reduced medical expenses 2.6%.”

Director of Payment Integrity, Regional Health Plan

“With Pareo®, we have the business intelligence necessary to make more informed decisions about what concepts and inventory to insource based on cost-benefit analysis.”

Senior Manager Payment Integrity, State Health Plan

“Pareo allowed us to really ramp up quickly. We went from just a few hundred thousand in annual unsolicited refunds to $30 million in savings and recoveries the first year with Pareo. The second year we did $65 million, then $95 million. Last year, we did $122 million, and we’re on track to do $131 million this year.”

Erik Chase, Director of Payment Integrity, L.A. Care Health Plan

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Industry Perspectives

Every week, our payment integrity and FWA experts analyze industry trends and opportunities to bring fresh perspectives to you. Here’s the latest:

ClarisHealth Hires Gary Eeds as Chief Operating Officer

Healthcare technology delivery veteran joins senior leadership team to scale adoption of enterprise payment integrity platform for health plans. As Chief Operating Officer, Eeds is excited to join ClarisHealth to continue the mission ...

News & Articles

Webinar: How SIUs Can Embrace Adaptive Business Models

In this on-demand webinar, Karen Wright of Blue Cross of Idaho will share how her organization is preparing for the future by building a modern SIU that relies on proactive and adaptive business models to answer emerging trends in FWA.

Events & Resources

A Vision for Payment Integrity

Season 2: Episode 6 - This season, as we have followed L.A. Care Health Plan's journey building a payment integrity function from the ground up, we've seen them go from a few thousand in unsolicited recoveries to $131 million in ...

Podcast

Level up your health plan’s payment integrity results.

All your people, processes and data. All together on one platform.

One Platform. Maximum Opportunity

Scale Internal Payment Integrity Program

Expand Prepay Cost Avoidance

Enhance Collaboration Between Payment Integrity & SIU

Reduce Provider Abrasion

Complex systems and processes limit your health plan’s potential. You need a solution-oriented partner who understands where the payment integrity industry is headed next.

Health Plans Achieve 10x ROI with Pareo

Increase in auditor productivity

Rate of avoidance and recovery relative to claim spend

Improvement in prepay cost avoidance

What are ClarisHealth Clients Saying?

"ClarisHealth is an industry leader in health plan technology and has created the standard for how payment integrity administrative platforms should work.”

“Pareo® not only allowed us to scale up our third-party supplier program but also gave us the data insights to identify underserved product lines so we could focus our efforts. As a result, we have reduced medical expenses 2.6%.”

“With Pareo®, we have the business intelligence necessary to make more informed decisions about what concepts and inventory to insource based on cost-benefit analysis.”

Industry Perspectives

ClarisHealth Hires Gary Eeds as Chief Operating Officer

Webinar: How SIUs Can Embrace Adaptive Business Models

A Vision for Payment Integrity

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ClarisHealth Hires Gary Eeds as Chief Operating Officer

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Whitepaper – Technology Adoptions: A Guide for Health Plans

How can your health plan control your prepay strategy?

Webinar: How SIUs Can Embrace Adaptive Business Models

How Highmark Uses Pareo for an Integrated Approach to Claims Cost Containment

A Vision for Payment Integrity

3 Elements Needed to Internalize Payment Integrity