ClarisHealth Named a Top 10 Payment Integrity Market Innovator, According to Everest Group
Everest Group spotlights ClarisHealth among “high potential” innovators with technology-first solutions disrupting traditional payment integrity models in “Reshaping Payment Integrity Solutions: Specialists Creating Buzz in the Market” industry report
FRANKLIN, Tenn., October 7, 2025 – ClarisHealth, the leading provider of enterprise payment integrity technology for health plans, today announced it has been recognized by Everest Group as one of the top 10 innovators redefining the payment integrity market.
In its September 2025 report, “Reshaping Payment Integrity Solutions: Specialists Creating Buzz in the Market,” Everest Group named ClarisHealth a “High-Potential Specialist,” a designation reserved for the most innovative emerging specialists using next-generation, digital-first solutions to challenge traditional payment integrity models.
Everest Group, a leading global research firm known for its independent and data-driven evaluations of healthcare technology providers, assessed more than 50 payment integrity companies worldwide. Of those, 18 niche specialists were shortlisted, with ClarisHealth selected among the 10 “high-potential” innovators reshaping the market through advanced technology, deep domain expertise, and a focus on prospective payment accuracy.
“Being named a ‘High-Potential Specialist’ validates that our technology-first approach is gaining recognition as the future of payment integrity,” said Tate McDaniel, chief growth officer at ClarisHealth. “We’re honored that Everest Group has once again recognized ClarisHealth as a force driving innovation in our industry and, most importantly, advancing value for health plans.”
ClarisHealth’s Pareo® platform empowers health plans to unify pre-pay and post-pay activities across their payment integrity operations. This recognition follows the company’s earlier distinction as a “Major Contender” in Everest Group’s Payment Integrity Solutions PEAK Matrix® Assessment in both 2024 and 2025.
“We view this recognition as further confirmation that health plans can achieve better outcomes when they embrace modern enterprise technology to drive cost containment,” added McDaniel. “Our mission has always been to transform payment integrity into a strategic advantage for our clients.”
Why This Matters for Health Plans
Payment integrity is at an inflection point. Health plans face rising administrative costs and growing pressure to prevent claims errors before payment is made. This new report from Everest Group highlights how specialist innovators like ClarisHealth are driving this shift by:
- Advancing prospective validation over retrospective audits to reduce overpayments before they occur
- Leveraging AI-driven early-detection models for faster, more accurate identification of claim anomalies
- Fostering greater payer-provider collaboration to minimize abrasion and streamline recoveries
This recognition signals to health plans that enterprise technology is now a core strategic lever for reducing costs, improving accuracy, and easing provider relationships.
By the Numbers
- 50+ payment integrity providers evaluated
- 18 niche specialists shortlisted
- 10 “high-potential specialists” named
- 2× growth rate of pre-pay spend vs. post-pay spend (industry wide)
- ClarisHealth recognized as “Major Contender” in PEAK Matrix in 2024 and 2025
How Pareo® Delivers Impact
ClarisHealth’s enterprise technology gives health plans the scale and visibility they need to modernize payment integrity operations:
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- Unified platform for end-to-end pre- and post-pay audit inventory management.
- Transparent vendor management that helps reduce contingency fees, integration costs, and administrative spend.
- Prospective savings at scale: in 2024, customers processed $12B in payment integrity savings through Pareo, with 60% identified before claims payment.
Expert Perspective
“The future of payment integrity is about accuracy before payment, not chasing errors afterward,” said Tom Noack, SVP of product strategy at ClarisHealth. “Our AI-driven detection models and collaborative workflows equip health plans to shift resources upstream, protecting both their bottom line and their provider relationships.”
Next Steps
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