Clarishealth works with health plans to deliver scalable, A.I.-enabled payment integrity & FWA solutions.

How are existing siloed tools for health plans working to address the payment integrity challenges you face today and in the future?

Clarishealth works with health plans to deliver scalable, A.I.-enabled payment integrity FWA solutions.

How are existing siloed tools for health plans working to address the payment integrity challenges you face today and in the future?

Reduce Administrative Costs

Is your health plan struggling with broken payment integrity tools?

  • Focus on retrospective pay-and-chase
  • Lack unified enterprise-level reporting
  • Create competing objectives across claim processing departments
  • Cause provider and member friction around payments
  • Increase administrative and medical costs, potentially impacting medical loss ratios
  • Lack transparency across departments, solutions, business partners, and business lines.

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Free yourself from the outdated systems that limit your health plan’s payment integrity potential.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.

ClarisHealth unites data

and people through 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Free yourself from the outdated systems that limit your health plan’s payment integrity potential.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.

What do our clients say?

“With the clarity that Pareo® has given us, we’re able to track recoveries monthly, and we’re on track to double our recoveries from the previous year.”

Erik Chase, Director of Payment Integrity, L.A. Care Health Plan

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.

What do our clients say?

“With the clarity that Pareo® has given us, we’re able to track recoveries monthly, and we’re on track to double our recoveries from the previous year.”

Erik Chase, Director of Payment Integrity, L.A. Care Health Plan

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.

Expand Avoidance Opportunity

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

10x Your ROI on Payment Integrity Technology with Pareo®

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,” 2016

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

Stanford Medicine, “Health Trends Report,” 2017

“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, 2009