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Turn complexity into clarity.

Unify payment integrity operations, quickly and accurately pay claims, and surface proactive insights 

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ClarisHealth Secures Significant Growth Investment from Pamlico Capital

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What are ClarisHealth Clients Saying?

"ClarisHealth is an industry leader in health plan technology and has created the standard for how payment integrity administrative platforms should work.”

Director of Payment Integrity Operations & Recoveries, Blue Cross Blue Shield Plan

“Key for us was working with ClarisHealth to help design and build a solution that works for both of us. We knew we couldn't have just a canned solution that we had to make our process fit that. We had to have a partner who was willing to customize and really understand our process and build the solution around that.”

Kurt Spear, VP Financial Investigation and Provider Review, Highmark Blue Cross Blue Shield

“Pareo is our single source of truth. For my investigator meetings, I can quickly narrow down to the cases I want to discuss. For the weekly lead and case progress reports I send to clients, we narrowed down the statuses from 30-plus free text to five or six. It's much easier to go into Pareo, download to the spreadsheet, filter and create the roll-up report of what they need to see.”

Senior Director, Program Integrity, Regional Third-Party Administrator

“Pareo® not only allowed us to scale up our third-party supplier program but also gave us the data insights to identify underserved product lines so we could focus our efforts. As a result, we have reduced medical expenses 2.6%.”

Director of Payment Integrity, Regional Health Plan

“With Pareo®, we have the business intelligence necessary to make more informed decisions about what concepts and inventory to insource based on cost-benefit analysis.”

Senior Manager Payment Integrity, State Health Plan

“Pareo allowed us to really ramp up quickly. We went from just a few hundred thousand in annual unsolicited refunds to $30 million in savings and recoveries the first year with Pareo. The second year we did $65 million, then $95 million. Last year, we did $122 million, and we’re on track to do $131 million this year.”

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

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Complex systems and processes limit your health plan’s potential. You need a solution-oriented partner who understands where the payment integrity industry is headed next.

Why ClarisHealth?

Health Plans Achieve 6x ROI with Pareo

%

faster overpayment recovery

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increase in recoveries

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increase in identifications

How We Help Health Plans

Industry Perspectives

Our payment integrity experts bring industry analysis and perspectives to you. Here’s the latest news:

ClarisHealth Unveils Pareo® Partner Exchange: Revolutionizing Payment Integrity for Payers

Payment Integrity industry's first integrated ecosystem set to accelerate value delivery and reduce administrative complexity in $9B market. Groundbreaking offering addresses the growing complexity in vendor management and empowers ...
News & Articles

Report: Everest Group Payment Integrity Solutions PEAK Matrix® Assessment 2024

Get access to the latest payment integrity solutions research. Everest Group's Payment Integrity Solutions PEAK Matrix Assessment analyzes 18 leading payment integrity solutions providers. The study is designed to enable payers to ...
Events & Resources

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 ...
Podcast