Payer Clariti Software

 Improve your Medicare Advantage Rates & Contracts 

Gain knowledge & leverage to increase Medicare Advantage reimbursement

Rate Explorer

Uncover Payer Rates in your Market!

A must-have to find good payers & negotiate your MA contracts:

  • Compare your rates to peers
  • Benchmark your competitors 
  • Search published payer rates in your market

Market Monitor

Track Key Medicare Advantage Trends

Monitor the utilization of Medicare Advantage in every local market:

  • See changes in local MA enrollment
  • Track local share by payer
  • Understand the impact of Medicare Advantage county by county (see example)

Rate Accuracy

Verify You Are Using Accurate Payer Rates

Calibrate payer reported rates with your contracts and recent claims:

  • Deploy rate changes across all your systems
  • Audit claim and contract rates
  • Avoid underpayments and missed reimbursements

Coming Soon

API Connectors

Instantly synchronize payer rates and
terms to your current systems

Which Payers Matter to You?

Select a State and/or County to identify the which payers have the most seniors enrolled in Medicare Advantage (hover for more details)

How Do Post Acute Providers Win at Managed Care?

From negotiating favorable Medicare Advantage (MA) contracts, to overcoming authoritzation and claims denials - being able to succeed in the ever-changing MA marketplace is critical to maintaining your revenue.

Read our Clarity Guides to learn more tips and strategies to succeed!
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How Does Payer Clariti work?

Uncover Variations in Payer Rates

Our team has deployed software in thousands of nursing homes.  We know you are tired of having to remember dozens of passwords. 

Payer Clariti brings payer insights and knowledge to you, where you work. We'll set up your markets, the competitors you want to watch and keep you aware of the changes happening in Medicare Advantage.

  • Setup your Payer Clariti account

    Create a Payer Clariti account and add your users.

    You can set up alerts to monitor payer rates in your locations & share market updates with your team.

  • Benchmark and compare payer rates

    Based on your added facility locations, Payer Clariti discloses known payer rates for all facilities in their market.

    We've built reports to help you explore rates by locations, chain operators, Five Star ratings and much more. You can find the data you want - and set up regular notifications of rate changes.

  • Monitor payer movements

    With recent scrutiny, Medicare Advantage payers are exiting markets and changing strategies.  

    Payer Clariti monitors payer filings to show you where enrollments and payer share is changing so you can plan accordingly.

  • Verify contract or claim rates

    Import your payer agreement PDF's or recent claims and Payer Clariti reconciles them to payer published rates - showing you anything inconsistent.

Want to get better at Medicare Advantage?

Start for free and see if Payer Clarity can help!

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Easily track your competitors' payer rates, monitor Medicare Advantage payer trends and discover new markets.