ClarisHealth
ClarisHealth provides AI-enabled payment integrity SaaS to US health plans via its Pareo platform, unifying prepay and post-pay operations, vendor management, and analytics across enterprise customers.
- Company typePrivate
- Founded2013
- HeadquartersNashville, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What ClarisHealth does
ClarisHealth is a private SaaS company that provides AI-enabled payment integrity and fraud, waste, and abuse (FWA) technology to US health plans and payers. Founded in 2013 in Tennessee and currently headquartered in Franklin, the company sells a single enterprise platform, Pareo, that unifies prepay and post-pay payment integrity operations across internal teams and external vendors. The platform centralizes claim inventory management, evidence handling, opportunity identification and tracking, vendor management, and reporting on a non-invasive, file-based integration layer using a standardized 82-field audit submission format that works across claims adjudication systems and multiple vendors simultaneously. AI capabilities embedded in the platform include predictive claim prioritization, anomaly detection, automated clinical document review, and root cause analysis of recurring overpayment patterns.
Pareo is sold to health plans on an enterprise subscription basis with quote-based pricing tailored to plan size and implementation scope; typical deployments run 3-9 months. The company sells primarily through a direct enterprise field sales motion supported by an ROI calculator developed with Hobson & Company, complemented by an event-driven channel centered on its peer-led Power of Payment Integrity (POP) Conference. The customer base spans 25 health plans representing over 70M members, including 5 Top Ten Health Plans, 12 Blues Plans, and the largest public health plan in the US; in 2025, these customers processed $17.8B in payment integrity savings through the platform. Revenue grew 140% from 2021 to 2024 per Deloitte Technology Fast 500 rankings, and the company received a strategic growth investment from Pamlico Capital in January 2024. In April 2026, Michael Axt was appointed CEO while founder Jeff McNeese moved to President, Market Innovation & Strategic Partnerships.
ClarisHealth firmographics
Firmographics- Name
- ClarisHealth
- Legal name
- ClarisHealth
- Website
- https://clarishealth.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- ClarisHealth provides AI-enabled payment integrity SaaS to US health plans via its Pareo platform, unifying prepay and post-pay operations, vendor management, and analytics across enterprise customers.
- Ownership category
- akta.pro rank
ClarisHealth industry classification
Industry- Product category
- Healthcare Payment Integrity Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Claims Administration & Payment Integrity (Medical/Dental/Vision) (HLAEALAD)
- akta.pro secondary industries
- Payment Integrity, Audit, Appeals & Grievance Support (BPAAAFAJ), Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)
Keywords
Where ClarisHealth is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
ClarisHealth business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Enterprise Software Platform Subscription: Pareo is sold as an enterprise technology platform to health plans on a subscription basis. The platform helps health plans optimize vendor performance, payment accuracy, and claims savings. Implementation typically takes 3-9 months depending on scope.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise platform pricing varies by health plan size and scope of implementation |
Go-to-market motion2 records
Distribution channels1 record
Marketing channels7 records
ClarisHealth product offering
Product offeringCore offering
ClarisHealth sells the Pareo enterprise payment integrity platform to U.S. health plans and payers on a subscription basis. Pareo unifies pre-pay and post-pay claim audit operations, internal and vendor-managed audits, workflow automation, AI-driven claims intelligence, vendor management, and analytics into a single operating system. The company also operates the Pareo Partner Exchange for ecosystem integrations and provides a self-serve ROI calculator validated by Hobson & Company.
Product overview
ClarisHealth offers a single unified product platform, Pareo, augmented by an ecosystem of partner integrations. Pareo is an enterprise payment integrity operating system that unifies all payment integrity operations — prepay and post-pay, internal and outsourced, across multiple vendors — into one platform. The platform includes core modules for audit inventory management, evidence management, opportunity identification, insights and reporting, vendor management, and connectivity. The Pareo Partner Exchange extends native capabilities through integrated partners. The company also provides a self-serve ROI calculator and hosts the Power of Payment Integrity Conference for industry peer engagement.
Differentiator
Problem solved
Functional benefit
Brands
- Pareo®: Enterprise payment integrity platform for health plans that unifies pre-pay and post-pay operations, vendor management, analytics, and workflow automation. The platform helps health plans optimize claims payment accuracy, reduce vendor dependency, and achieve 3x ROI.
Products and services
- Pareo Enterprise payment integrity platform that unifies pre-pay and post-pay operations across internal and vendor-managed audits, providing AI-powered automation, real-time analytics, and enterprise-grade inventory management for health plans. Targets U.S. health plans and payers of all sizes (80k to 24M members) including Blues plans, public health plans, Medicare Advantage plans, and Medicaid MCOs.
- Pareo Partner Exchange Partner ecosystem that extends Pareo's native capabilities through pre-integrated solution partners (e.g., CoverSelf for prepay self-service, Expion Health for out-of-network claims management), reducing the time and cost for health plans to add new payment integrity capabilities.
- Pareo ROI Calculator Self-serve calculator that allows health plans to evaluate potential returns on payment integrity technology investment, demonstrating a model 3x ROI over three years for a sample organization with 16,500 claims reviewed per month. Built on Hobson & Company validated research.
Quantifiable outcome
- Over 3x ROI for health plans adopting Pareo
- +5 more outcomes
Companies that use ClarisHealth
Customer profileNamed customers7 records
Segments1 record
Ideal customer profiles1 record
ClarisHealth technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability8 records
Feature9 records
ClarisHealth partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- CoverSelfcoreStrategic partnership to launch the first fully integrated prepay self-service solution for health plans. The integration extends Pareo platform capabilities, providing the first fully integrated end-to-end prepay operating system connected to post-pay activities. Part of Pareo Partner Exchange ecosystem.
- Expion HealthcoreStrategic partnership to offer enhanced out of network (OON) claims management capabilities on the Pareo platform. Pre-integrated into Pareo to help health plans detect and avoid more claims overpayments without additional IT costs. Part of Pareo Partner Exchange.
- Hobson & CompanyminorROI research firm partnered with ClarisHealth to investigate the value of Pareo. Conducted eight in-depth interviews with existing clients and validated nine sources of operational value. Developed comprehensive ROI calculator and white paper proving 3x ROI for health plans.
Scale indicators8 records
Recent moves7 records
Expansion highlights5 records
ClarisHealth competitors and assessment
Company assessmentDirect peers
- Cotiviti: Cotiviti is a leading payment accuracy and integrity vendor for health plans, offering prepay and post-pay claim auditing, recovery, and analytics. It directly competes with ClarisHealth's Pareo platform in the same payer customer base with overlapping payment integrity, FWA, and overpayment recovery capabilities.
- Change Healthcare (Optum): Change Healthcare provides claims processing, payment integrity, and analytics solutions to health plans and providers. Now part of Optum, it competes directly with Pareo on payment integrity workflows while offering broader claims-editing and network solutions.
- MultiPlan: MultiPlan offers cost containment, payment integrity, and out-of-network claims management for health plans, payers, and TPAs. Its payment integrity and OON management capabilities overlap with Pareo's audit and vendor management modules.
- Zelis: Zelis provides healthcare claims cost management, payment integrity, and provider network solutions to health plans and TPAs. It competes with ClarisHealth in payment accuracy and is an existing partner of Pareo via Expion Health for OON claims management.
Broad incumbents
- Optum (UnitedHealth Group): Optum is the largest incumbent in healthcare payment integrity and claims processing, offering payment accuracy, FWA detection, and analytics as part of its broader services portfolio across UnitedHealth. It competes with Pareo across enterprise health plans but as part of a much wider technology, services, and care delivery stack.
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems and payers, including analytics on cost, quality, and operational performance. While not a direct payment integrity competitor, it overlaps with Pareo's analytics, reporting, and benchmarking offerings for payers.
- Clarify Health: Clarify Health provides enterprise analytics and value-based care intelligence for health plans and providers, including payment and utilization analytics. It is a broad incumbent in payer analytics with overlapping use cases to Pareo's Insights & Reporting and benchmarking modules.
Emerging players
- Codoxo: Codoxo is an AI-driven healthcare payment integrity and FWA detection platform for health plans and payers. As an emerging AI-native competitor, it overlaps with Pareo's claims intelligence and anomaly detection capabilities, particularly in cost-containment and prepay scenarios.
- Olive AI: Olive AI is a healthcare automation company applying AI to revenue cycle, prior authorization, and claims operations for health systems and payers. It is an emerging player with partial overlap to Pareo's AI-driven workflow automation, though historically more focused on provider-side operations.
Others
- Datavant: Datavant is a healthcare data connectivity and de-identification platform that enables secure data exchange across payers, providers, and life sciences. It is an enabling/ecosystem participant rather than a direct payment integrity competitor, but its connectivity capabilities intersect with Pareo's claims data integration needs.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
ClarisHealth social profiles
Digital presenceClarisHealth compliance and trust
Trust signalCompliance3 records
ClarisHealth financial estimates
Financial estimateRevenue estimate
Valuation estimate
ClarisHealth leadership team
Management profileNumber of profiles
Profiles18 records
ClarisHealth funding detail
Funding detailFunding overview
Funding rounds2 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ClarisHealth M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ClarisHealth
What does ClarisHealth do?
ClarisHealth sells the Pareo enterprise payment integrity platform to U.S. health plans and payers on a subscription basis. Pareo unifies pre-pay and post-pay claim audit operations, internal and vendor-managed audits, workflow automation, AI-driven claims intelligence, vendor management, and analytics into a single operating system. The company also operates the Pareo Partner Exchange for ecosystem integrations and provides a self-serve ROI calculator validated by Hobson & Company.
Is ClarisHealth a public or private company?
ClarisHealth is a private company. It is classified as private equity controlled and is currently operating.
When was ClarisHealth founded?
ClarisHealth was founded in 2013. It employs 101 to 250 people.
Where is ClarisHealth based?
ClarisHealth is headquartered in Nashville, United States, in the North America region.
How does ClarisHealth make money?
One revenue line is on record: enterprise Software Platform Subscription.
Who are ClarisHealth's main competitors?
Direct peers on record are Cotiviti, Change Healthcare (Optum), MultiPlan and Zelis. Broad incumbents are Optum (UnitedHealth Group), Health Catalyst and Clarify Health. Emerging players are Codoxo and Olive AI. Datavant is listed as an others.
Does ClarisHealth have an API?
No public API is recorded for ClarisHealth.
What industry is ClarisHealth in?
ClarisHealth's product category is Healthcare Payment Integrity Software. Its primary akta.pro industry code is HLAEALAD, Claims Administration & Payment Integrity (Medical/Dental/Vision), with a secondary code of BPAAAFAJ, Payment Integrity, Audit, Appeals & Grievance Support. Its NAICS code is 524292 and its SIC code is 7372.