Technology to Drive Payment Accuracy

Improperly paid healthcare claims lead to billions of dollars every year in overspending. Pareo® is a payment integrity management platform that drives more accurate and efficient healthcare claims payments.    

Pareo® is trusted by top health plans to empower real innovation.

Optimize Payment Integrity

With a single platform to integrate fragmented data sources and secure access for all stakeholders to support seamless communication and foster engagement, payment integrity leaders have a holistic view into operations to enable innovative payment accuracy strategies.

Prevent Overpayments

Data analytics and predictive modeling to score claims for overpayment risk, reporting to identify root causes and remediate, and tools to manage prompt payment deadlines combine to push more efforts toward overpayment prevention.

Integrate FWA

The most advanced technology platform available for modern anti-FWA teams. Fully integrate the SIU with payment integrity to reduce manual work, minimize provider abrasion, streamline reporting, and demonstrate enterprise-wide value.

What do our clients say?

Erik Chase | Quote C

“The flexibility of Pareo has been key. Instead of trying to put a square peg in a round hole, Pareo can integrate your processes into the workflow and help you get to the next level.”

Erik Chase, Director of Payment Integrity
Kimberly Jones-Schneider | Quote D

“ClarisHealth, off the shelf with Pareo, had already developed most of the 500 capabilities we had identified. And because of their structure, we have access to constant innovation that evolves ahead of our growing needs.”

Kimberly Jones-Schneider, Director of Payment Integrity Operations & Recoveries

Pareo Platform Capabilities

Data Management

Pareo integrates with claims adjudication and other data system to offer claim inventory controls, including global exclusions and overlap management.

InterPlan Invoicing

Integrated management of inter-plan invoicing and reconciliation activities.

Vendor Management

Never access another vendor portal again. Our solution economizes vendor management so that your team – and third-party vendors – can focus on high value work. 

FWA Case Management

Track leads and cases with integrated and streamlined workflows, allowing for comprehensive program integrity managed.

Internal Audit Management

Features that support internal audit operations, both complex, and non-complex. Plus, access to our experienced team of payment integrity ideation consultants.

Reporting

Timely insights into operational, vendor, audit, and team KPIs.

Highest Designated Major Contender 2024

2021 & 2022

Sample Vendor for Prospective Payment Integrity Hype Cycle for U.S. Payers 2021, 2022 & 2023

2021 & 2022

2020, 2021, 2022 & 2023

Industry Perspectives

Unify payment integrity operations, quickly and accurately pay claims, and surface proactive insights.

ClarisHealth Unveils New Brand to Complement Revitalized Mission

ClarisHealth, provider of the industry’s only integrated payment integrity technology platform, connects company’s modernized look to the continued evolution of the health plan market and their desire for advanced technology.

Report: Everest Group Payment Integrity Solutions PEAK Matrix® Assessment 2024

Get access to the latest payment integrity solutions research. Everest Group's Payment Integrity Solutions PEAK Matrix Assessment analyzes 18 leading payment integrity solutions providers. The study is designed to enable payers to ...

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 ...