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Why ClarisHealth? 

Our roots go back to the beginning of the payment integrity industry. Today, our AI-enabled payment accuracy solutions empower innovative cost-containment strategies at leading health plans.

Is your health plan struggling with complex payment accuracy processes?

Information Silos

Competing objectives across claim processing departments and lack of transparency across the organization, solutions, business partners and LOBs minimize efficiency and create provider and member friction around payments.

Lack of Enterprise Reporting

Without a single source of truth, payers are limited to retrospective pay-and-chase and quarterly business reviews that limit innovation rather than real-time data insights that surface areas of business opportunity.

Low ROI

Administrative burden from manual processes inflates costs and reduces high-value output from specialized resources resulting in marginal year-over-year improvements relative to goal and minimal strategic impact.

ClarisHealth unites data and people through innovative technology

Free yourself from the outdated systems that limit your health plan’s payment integrity potential. Together, we make better decisions that increase medical savings 3x.

Explore Pareo®

Highest Designated Major Contender 2024

2021 & 2022

Sample Vendor for Prospective Payment Integrity Hype Cycle for U.S. Payers 2021-2024

2021, 2022, 2025

2020-2025

What do our clients say?

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Transforming Engagement Across the Healthcare Continuum

Connecting payers, providers and business partners with a single technology platform designed with artificial intelligence to support transparent communication.

It’s payment integrity — illuminated.

How Can Pareo® Help You?

Expand Avoidance Opportunity

Ensure claims are paid right the first time with comprehensive, prevention-focused solutions.

Optimize Recovery Costs

Strike the ideal balance between recovery results and costs to maximize overall program value.

Renew Relationships

Minimize friction with providers, suppliers and internal departments through transparent communication.

Prepare for the Future

Rise to meet tomorrow’s payment integrity challenges today with rapid and responsive innovation.

Tap the potential of total payment integrity

%

Reduction in contingency fee payments on internalized audits

%

Increase in overpayment recoveries

%

Reduction in internal team time spent on inventory management

3x Your ROI on Payment Integrity Technology with Pareo®

Show Me How

Health plans “need to implement technology-based solutions to detect, prevent, and mitigate improper claim activities and payments.”

Gartner, “Market Guide for Payment Integrity Solutions for U.S. Healthcare Payers”

See How We Help Health Plans

“Experts believe that healthcare organizations will need to invest in the appropriate tools and infrastructure to effectively manage data.”

Stanford Medicine, “Health Trends Report”

See How We Help Health Plans

“The fundamental need in today's healthcare system is for the two largest constituents—payers and providers—to work together in alignment. We need a change in thinking and actions to shift the dynamic of how payers and providers work and interact with each other.”

The New Era of Healthcare: Practical Strategies for Providers and Payer

See How We Help Health Plans