Technology to Drive Payment Accuracy
Improperly paid healthcare claims lead to billions of dollars every year in overspending. Pareo® is a payment integrity management platform that drives more accurate and efficient healthcare claims payments.
Pareo® is trusted by top health plans to empower real innovation.
Optimize Payment Integrity
With a single platform to integrate fragmented data sources and secure access for all stakeholders to support seamless communication and foster engagement, payment integrity leaders have a holistic view into operations to enable innovative payment accuracy strategies.
Prevent Overpayments
Data analytics and predictive modeling to score claims for overpayment risk, reporting to identify root causes and remediate, and tools to manage prompt payment deadlines combine to push more efforts toward overpayment prevention.
Integrate FWA
The most advanced technology platform available for modern anti-FWA teams. Fully integrate the SIU with payment integrity to reduce manual work, minimize provider abrasion, streamline reporting, and demonstrate enterprise-wide value.
What do our clients say?
“The flexibility of Pareo has been key. Instead of trying to put a square peg in a round hole, Pareo can integrate your processes into the workflow and help you get to the next level.”
“ClarisHealth, off the shelf with Pareo, had already developed most of the 500 capabilities we had identified. And because of their structure, we have access to constant innovation that evolves ahead of our growing needs.”
Pareo Platform Capabilities
Data Management
Pareo integrates with claims adjudication and other data system to offer claim inventory controls, including global exclusions and overlap management.
InterPlan Invoicing
Integrated management of inter-plan invoicing and reconciliation activities.
Vendor Management
Never access another vendor portal again. Our solution economizes vendor management so that your team – and third-party vendors – can focus on high value work.
FWA Case Management
Track leads and cases with integrated and streamlined workflows, allowing for comprehensive program integrity managed.
Internal Audit Management
Features that support internal audit operations, both complex, and non-complex. Plus, access to our experienced team of payment integrity ideation consultants.
Reporting
Timely insights into operational, vendor, audit, and team KPIs.
Highest Designated Major Contender 2024
2021 & 2022
Sample Vendor for Prospective Payment Integrity Hype Cycle for U.S. Payers 2021, 2022 & 2023
2021 & 2022
5 years in a row
2020-2024
Industry Perspectives
Unify payment integrity operations, quickly and accurately pay claims, and surface proactive insights.