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Free yourself from the outdated systems that limit your health plan’s payment integrity potential.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.
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.”
"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."
"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®?"
"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."
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-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®
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