Claritev Introduces Transparency-Based Pricing, Turning Complex Public Market Data into Actionable Reimbursement Intelligence
Key Highlights
- ➤Claritev launches Transparency-Based Pricing for payers and third-party administrators
- ➤Solution processes more than 1.7 trillion machine-readable file records
- ➤Clients receive source-traceable reimbursement reference points within established claims workflows
- ➤Methodology expected to expand across multiple cost-containment applications over time
Expert Statements
Sean Crandell, Senior Vice President and General Manager, Claims Intelligence, at Claritev
“Payers and TPAs are under real pressure to make reimbursement decisions that are consistent, well-supported, and workable across a wide range of client needs. But having access to vast troves of public pricing data is not the same as making sense of it”
Sean Crandell, Senior Vice President and General Manager, Claims Intelligence, at Claritev
“Transparency-Based Pricing gives teams a clearer, more practical view of the market and a source-traceable reference point they can evaluate under their own reimbursement policies, without having to build and maintain an enormous data infrastructure themselves.”
MCLEAN, Va., Oct. 29, 2026 (GLOBE NEWSWIRE) -- Claritev Corporation (“Claritev” or the “Company”) (NYSE: CTEV), a healthcare technology, data, and insights company, today announced the launch of Transparency-Based Pricing, a new market-informed reimbursement intelligence solution designed to give payers and third-party administrators (TPAs) greater flexibility and confidence as they manage healthcare costs and reimbursement strategies. The solution translates government-required public transparency data into market inputs and supporting rationale that clients can use within their own individualized reimbursement approaches.
Healthcare costs remain one of the most consequential pressures facing payers, employers, and the people they serve. Organizations need reimbursement approaches that can accommodate different claims, service categories, geographies, plan designs, and client objectives, while providing reimbursement rationales they can understand, explain, and support.
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