ClarisHealthMember Level: Vendor
Description of Services: ClarisHealth provides health plans and payers with total visibility into payment integrity and FWA operations through our A.I.-powered technology platform Pareo®. Pareo maximizes health plan avoidance and recoveries at the most optimized cost for a 10x ROI. This return is achieved through a 10% rate of avoidance and recovery relative to claim spend, 3x increase in auditor productivity, and a 35% improvement in prepay cost avoidance.
Pareo’s configurable approach includes solutions for claims overpayment inventory management, vendor optimization, auditor workflow and analytics, fraud case management, and business intelligence.
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 from the previous year.” We are removing the limits of what health plans can achieve in payment integrity and transforming engagement in healthcare.
We invite health plans to join us for a no-obligation demo of Pareo to learn more about this innovative solution. Sign up at https://www.clarishealth.com/schedule-a-demo/.
Primary Service: Automation, Workflow and IT Services
Secondary Service: Enterprise Data
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7100 Commerce Way
Brentwood, TN 37027
How to Successfully Select & Adopt Payment Integrity Technology
Virtually every health plan is looking to address shrinking margins by moving their medical savings from a typical 1-2% today to something above 5% over the next few years. At the same time, the amount of healthcare data is only expanding, making that goal more difficult to address with current solutions. In this brochure ClarisHealth will show how health plans are seeking digital transformation.
Brochure: Pareo - Bringing Total Payment Integrity™ to Light
Pareo™ is the industry’s first modular and secure web-based platform that integrates all audit results into one solution giving you total control while eliminating infrastructure overhead and minimizing IT expense.