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How are you addressing the annual $1 trillion in overspending on healthcare claims payments?

ClarisHealth provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® has been proven to help health plans streamline payment integrity operations, expand recoveries and reduce administrative costs for an industry-leading ROI.

This return is achieved through 50% faster time to recovery, 31% more overpayments recovered, and 50% cost savings from automation. Pareo's configurable approach to payment integrity includes solutions for claims overpayment inventory management, third-party services vendor optimization, auditor workflow and analytics, fraud case management, prepay cost avoidance, reporting and business intelligence, and provider engagement.

As our client Erik Chase, director of payment integrity for L. A. Care Health Plan said, "With the clarity that Pareo® has given us, we're able to track recoveries monthly, and we doubled our recoveries in the first year."

Keywords

total payment integrity, health plan technology, provider engagement, business partner optimization, payer technology, fraud waste & abuse solution, healthcare cost containment, claim spend savings, centralized payment integrity, enterprise technology, claims payment accuracy

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160
2013
$9.0M

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