Best In Class

Reference-Based Pricing

Select a reference-based pricing program that fits your needs.

The healthcare industry has looked to Medicare as a national benchmark for what is considered to be fair and reasonable as payment for covered medical services.

ClearHealth Strategies helps you – health plans, third-party administrators, and employer groups – with accurately pricing medical claims based on the amount that Medicare would allow for the same or similar service.

If you’re a health care industry payer looking for more reliable and reasonable costs, take a look at the various products that ClearHealth offers.

Talk to us about how we can best fit your plan’s needs.

All claims outside of a primary PPO network.

Full PPO Replacement

Fully replace the PPO network.

Replace facility or professional PPO network.

Contracted Provider Pricing

Reliable pricing for your provider agreements.