Custom solutions for
Your unique needs
The healthcare industry has looked to Medicare as a national benchmark for what is considered to be an acceptable payment for covered medical services.
ClearHealth’s technology and Medicare RBP methodology support your cost management objectives with transparent, industry-accepted reimbursement.
While we aim to help address your out-of-network challenges with our unparalleled Medicare RBP methodology, we also provide supplemental services to round out your entire Network strategy.
Utilize any one or a combination of the ClearHealth solutions to build an end-to-end reimbursement strategy that seamlessly integrates with your claim adjudication system.
- Out-of-Network claim valuation
Achieve the highest net retained savings and the least noise with this transparent offering - Identify problem billers
Identify and shut down egregious billing practices - Target pricing
Appropriately price claims based on a chosen level of Medicare - Network configuration
Integrate your various network relationships with Medicare RBP to build a robust cost management solution - Partial- to full-network replacement
Customize payer-specific objectives while enhancing the patient experience - Provider service valuation for non-traditional entities
Create a pricing index and benchmark for nontraditional entities, such as health care cost sharing communities
WHO WE SERVE
Insurance carriers
Third party administrators (TPAs)
Stop-loss carriers
Workers’ compensation and auto medical bill review organizations
Health care cost sharing communities
