Suppliers Streamline Communication and Promote Innovation

Payment integrity services vendors play an integral role in the value chain, but information silos, manual processes and limited methods of communication with health plan clients can hinder your effectiveness.

It’s easy to demonstrate your value with Pareo®

Pareo® gives vendors transparency and access to necessary data to showcase performance.

Automate

Receive and work only the claims relevant to you based on your specific contract, business arrangement, and pass order with health plans

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Accelerate

Submit audit findings effortlessly and more frequently using standardized data feeds

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Communicate

Receive health plan feedback more seamlessly on audit acceptance, rejections and rationale

Coordinate

Help the health plan reduce provider abrasion by limiting medical records requests on the same audit

Optimize

Submit concepts with claims-relevant data in a more organized and efficient manner to receive faster approvals

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Reconcile

Eliminate the need to generate invoices and the timely and costly reconciliation and dispute process with health plans

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Standardize

Standardize data feeds across your entire health plan customer base to maximize IT resource efficiency

Report

Center the relationship on mutual value and proof of innovation with a shared view of results

What do our clients say?

Valerie Thompson | Quote A

“We appreciate the collaboration between both the health plans and ClarisHealth to ensure that the Pareo process is streamlined and implemented correctly. We’ve successfully integrated the Pareo process, and the statusing for those plans that we’ve collaborated with ClarisHealth, into our TREND Connect workflows. So we can actually have all of that into our application for reporting.”

Valerie Thompson, Partner and Operations Director
Erik Chase | Quote E

“As we talk to vendors, most of them are saying, ‘It was good that we took the time to integrate into Pareo with LA Care because all these other payers are now using it.”

Erik Chase, Director of Payment Integrity

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 Awarded No. 251 on Financial Times’ List of Fastest Growing Companies in the Americas 2022

ClarisHealth, leading provider of payment integrity technology for health plans, today announced it is No. 251 on the Financial Times' list of the fastest growing companies in the Americas for 2022.

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.

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 ...