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Automate the Work. Control the Program. Innovate What’s Possible.

Pareo® gives health plans one platform to run payment integrity end to end—eliminating operational drag, reducing vendor dependency, and helping teams prevent, recover, and manage more dollars with confidence.

Built For Health Plans Under Pressure to Do More with Less

%

increase in overpayment recoveries

%

increase in overpayments identified in year one

validated ROI

days to go-live

standard vendor integrations

A Better Way to Run Payment Integrity

Most payment integrity programs evolve into a patchwork of vendors, spreadsheets, disconnected workflows, and manual oversight.

Pareo® replaces that complexity with a single operating platform designed to help health plans automate operations, control performance, and continuously improve outcomes.

Embed infrastructure into day-to-day operations

Eliminate manual inventory management, fragmented workflows, and time-consuming coordination across teams and vendors.

Pareo automates the movement, tracking, validation, and management of audit activity—so your team spends less time administering the process and more time improving performance.

With Pareo, you can:

  • Centralize audit inventory and workflows
  • Automate SLA tracking and routing
  • Reduce spreadsheet dependency
  • Standardize vendor operations
  • Streamline recovery management

Know what’s working – and what isn’t

Most health plans can’t clearly see which vendors, concepts, or workflows are driving results.

Pareo gives leadership real-time visibility into program performance across prepay and post-pay operations—so decisions are driven by data, not assumptions.

With Pareo, you can:

  • Compare vendor and internal team performance side by side
  • Track concept-level ROI and recovery outcomes
  • Monitor operational bottlenecks in real time
  • Standardize reporting across the enterprise
  • Manage your entire PI ecosystem in one place

Shift payment integrity from recovery to strategy

The future of payment integrity belongs to health plans that prevent waste upstream—not just recover it after payment.

Pareo helps organizations modernize and internalize payment integrity operations with scalable prepay capabilities, smarter workflows, and continuous performance optimization.

With Pareo, you can:

  • Expand internal prepay operations
  • Reduce dependency on contingency-based vendors
  • Scale high-performing concepts faster
  • Improve cost avoidance strategies
  • Continuously optimize program performance

Do You Know What Your Current Program Is Missing?

See how much more your payment integrity program could identify, prevent, recover, and optimize with Pareo.

Calculate Your ROI

What do our clients say?

“For many years, payment integrity has been a game of whack-a-mole, but that’s no longer sustainable. It behooves all of us to find opportunities to partner with our providers to review records and billing behaviors using a single source of truth.”
Director Payment Integrity
"Key for us was working with ClarisHealth to help design a solution that works for both of us. We had to have a partner who was willing to really understand our process."
Vice President of Provider Review
"It was taking too long to get to the data for needed insights, and we were looking at having to rebuild 25 internal applications for just one side of the business. Then, we realized, why build something when we could have everything we needed in Pareo®?"
Director of Payment Integrity Operations
"IT leadership understood how time consuming, resource intensive, and costly it would be to build something internally. Fortunately, we came across ClarisHealth and they had the solution. A similar self-built solution, to really get something that has the functionality of Pareo®, would have astronomical costs associated with it."
Senior Director of Claims Integrity

Pareo Platform Capabilities

Audit Inventory Management

Centralized claim inventory with exclusion management, overlap prevention, SLA tracking, and end-to-end recovery workflow — replacing fragmented spreadsheets and vendor portals with one source of truth.

Evidence Management

Medical record request tracking, document attachment, AI-enabled clinical document review, and an immutable audit trail that supports defensibility across every audit record.

Opportunity Identification & Tracking

Concept governance and project code validation ensure every audit ties to an approved, ROI-tracked idea. Compare concept performance across vendors to identify top programs — and which to bring in-house.

Insights & Reporting

Configurable dashboards and a standard report library provide real-time visibility into audit performance, vendor effectiveness, concept ROI, and team productivity — so leadership has the data to act.

Vendor Management

Configure and oversee your full vendor ecosystem in one platform — SLAs, pass order, data access controls, performance monitoring, and invoice reconciliation. Your internal audit team operates as a vendor too, enabling direct performance comparison.

Connectivity & Integrations

Non-invasive, file-based integration with your claims adjudication system. A standardized 82-field audit submission format works across all vendors — eliminating the cost of maintaining separate data feeds in different formats.

Talk to an Expert

Stop Managing Payment Integrity. Start Running It.

See how much more your payment integrity program could identify, prevent, recover, and optimize with Pareo.

3x ROI

Live in 120 days

Trusted by leading health plans