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MultiPlan

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uuid00pxni2

Namestring
MultiPlan
Websiteurl
multiplan.us
Company typeenum
Private
Founded yearint
1980
Descriptiontext

MultiPlan, doing business as Claritev, operates as a healthcare cost management solutions provider. The company's primary product is the Claritev Provider Search tool, delivered via a public web portal at providersearch.multiplan.com, which enables healthcare providers to search for and verify network participation status within the MultiPlan network. The platform functions as a digital self-service channel connecting payors, providers, and patients through network-based and cost-management services, with the product portfolio centered on facilitating network access and verification.

The underlying technology is described as a provider search platform with an online portal interface, supporting both provider lookup and network participation verification. Beyond the Provider Search tool, the company positions itself as offering a broader suite of healthcare cost management and provider network solutions, though the supplied data does not elaborate on the specific technical architecture, adjacent products, or integration footprint. There is no disclosed API, SDK, or mobile application in the source data.

The input data does not provide information on the company's pricing model, revenue mechanics, customer segmentation, headcount, geographic footprint, funding history, or ownership structure. Publicly disclosed pricing is not available, and no customer logos, partnership agreements, awards, or regulatory actions are recorded in the source material. As a result, this description is confined to what the supplied data directly supports.

Short descriptiontext

MultiPlan, doing business as Claritev, is a healthcare cost management solutions provider. Its primary product is the Claritev Provider Search tool, an online portal that enables healthcare providers to search for and verify network participation status within the MultiPlan network.

Ownership categoryenum
Headcount rangeband
1,001–5,000
akta.pro rankint
HeadquartersWest New York, United States
HQ citystring
West New York
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
healthcare cost management, provider network search, network participation verification, payor provider platform, healthcare network services
Industry1 code
1Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment)
CodeHLACABAKPrimaryYes
NAICS code1 code
  • Computer Systems Design and Related Services54151
SIC code1 code
  • Services-Prepackaged Software7372
Product category
Healthcare Network Management
Social media profiles1 record
Cost components4 values
Technology or R&D, Operations, Personnel, Infrastructure
GTM typeB2B
B2B
Offering typeSoftware
Software
Core offering1 text field

MultiPlan (doing business as Claritev) provides healthcare cost management solutions centered on a provider network search platform. The Claritev Provider Search tool allows healthcare providers to locate and verify network participation status through an online portal, supporting connections between payors, providers, and patients via network-based services.

Differentiator
Functional benefit
Problem solved
Product overview1 text field

MultiPlan (doing business as Claritev) offers a suite of healthcare cost management and provider network solutions. The company operates as a platform-based provider, with its primary product being the Claritev Provider Search tool, which allows users to search and locate healthcare providers within the MultiPlan network. The product portfolio centers on connecting payors, providers, and patients through network-based and cost-management services.

Product and service1 record
1Claritev Provider Search
CategoryHealthcare Provider Network Search
Description

A web-based provider search tool that enables healthcare providers and other users to locate and identify healthcare providers within the MultiPlan network and verify network participation status through an online portal.

Recent move1 record

Each record includes

Date, Type, Title, Description, Source

Peers10 records
1Change Healthcare (Optum)
TypeDirect peer
Description

Major healthcare data and analytics platform offering provider directory, eligibility, and network management solutions that directly compete with MultiPlan/Claritev's provider search and payer-provider data exchange capabilities.

2Quest Analytics
TypeDirect peer
Description

Provider network management and network adequacy analytics platform that directly competes with MultiPlan's provider directory and network verification offerings.

3Availity
TypeDirect peer
Description

Healthcare provider engagement platform offering provider search, eligibility verification, and payer-provider data exchange solutions that overlap directly with MultiPlan's provider network services.

4symplr
TypeDirect peer
Description

Healthcare operations platform offering provider data management, credentialing, and payer enrollment solutions that compete in the same provider network services category.

5Zelis
TypeDirect peer
Description

Healthcare cost management platform offering network management, claims editing, and payment integrity solutions that compete head-on with MultiPlan/Claritev's cost management portfolio.

6Edifecs
TypeDirect peer
Description

Healthcare data interoperability platform offering payer-provider data exchange, prior authorization, and clinical attachment solutions comparable to MultiPlan's network participation verification workflow.

7Cotiviti
TypeDirect peer
Description

Healthcare payment integrity and analytics platform with provider network management capabilities that overlap with MultiPlan/Claritev's cost management offerings.

8Phynd Technologies
TypeEmerging player
Description

Provider data management platform focused on healthcare provider directories and network management, competing in the same niche as MultiPlan's Claritev Provider Search tool.

9HealthEdge
TypeBroad incumbent
Description

Healthcare payer technology platform offering core administration, care management, and provider network solutions as part of a broader portfolio that overlaps with MultiPlan's network management capabilities.

10Experian Health
TypeBroad incumbent
Description

Healthcare data and analytics provider offering provider directory, eligibility verification, and revenue cycle management as part of a broader healthcare information portfolio relevant to MultiPlan's payer-provider data exchange.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat4 records

Each record includes

Type, Details

Key risks4 records

Each record includes

Headline, Details, Source

Key highlights4 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

MultiPlan

Healthcare Network Managementmultiplan.us

MultiPlan, doing business as Claritev, is a healthcare cost management solutions provider. Its primary product is the Claritev Provider Search tool, an online portal that enables healthcare providers to search for and verify network participation status within the MultiPlan network.

What MultiPlan does

MultiPlan, doing business as Claritev, operates as a healthcare cost management solutions provider. The company's primary product is the Claritev Provider Search tool, delivered via a public web portal at providersearch.multiplan.com, which enables healthcare providers to search for and verify network participation status within the MultiPlan network. The platform functions as a digital self-service channel connecting payors, providers, and patients through network-based and cost-management services, with the product portfolio centered on facilitating network access and verification.

The underlying technology is described as a provider search platform with an online portal interface, supporting both provider lookup and network participation verification. Beyond the Provider Search tool, the company positions itself as offering a broader suite of healthcare cost management and provider network solutions, though the supplied data does not elaborate on the specific technical architecture, adjacent products, or integration footprint. There is no disclosed API, SDK, or mobile application in the source data.

The input data does not provide information on the company's pricing model, revenue mechanics, customer segmentation, headcount, geographic footprint, funding history, or ownership structure. Publicly disclosed pricing is not available, and no customer logos, partnership agreements, awards, or regulatory actions are recorded in the source material. As a result, this description is confined to what the supplied data directly supports.

MultiPlan firmographics

Firmographics
Name
MultiPlan
Website
https://multiplan.us
Company type
Private
Founded year
1980
Headcount range
1,001–5,000 employees
Short description
MultiPlan, doing business as Claritev, is a healthcare cost management solutions provider. Its primary product is the Claritev Provider Search tool, an online portal that enables healthcare providers to search for and verify network participation status within the MultiPlan network.
Ownership category
akta.pro rank

MultiPlan industry classification

Industry
Product category
Healthcare Network Management
NAICS
Computer Systems Design and Related Services (54151)
SIC
Services-Prepackaged Software (7372)
akta.pro primary industry
Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

  • Healthcare cost management
  • Provider network search
  • Network participation verification
  • Payor provider platform
  • Healthcare network services

Where MultiPlan is headquartered

Location

Headquarters

HQ city
West New York
HQ country
United States
HQ region
North America

Markets served

MultiPlan business model

Business model
GTM type
B2B
Offering type
Software
Cost components
Technology or R&D, Operations, Personnel, Infrastructure

MultiPlan product offering

Product offering

Core offering

MultiPlan (doing business as Claritev) provides healthcare cost management solutions centered on a provider network search platform. The Claritev Provider Search tool allows healthcare providers to locate and verify network participation status through an online portal, supporting connections between payors, providers, and patients via network-based services.

Product overview

MultiPlan (doing business as Claritev) offers a suite of healthcare cost management and provider network solutions. The company operates as a platform-based provider, with its primary product being the Claritev Provider Search tool, which allows users to search and locate healthcare providers within the MultiPlan network. The product portfolio centers on connecting payors, providers, and patients through network-based and cost-management services.

Differentiator

Problem solved

Functional benefit

Products and services

  • Claritev Provider Search A web-based provider search tool that enables healthcare providers and other users to locate and identify healthcare providers within the MultiPlan network and verify network participation status through an online portal.

Companies that use MultiPlan

Customer profile

Ideal customer profiles2 records

MultiPlan technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

MultiPlan partnerships and signals

Strategic signal

Recent moves1 record

MultiPlan competitors and assessment

Company assessment

Direct peers

  • Change Healthcare (Optum): Major healthcare data and analytics platform offering provider directory, eligibility, and network management solutions that directly compete with MultiPlan/Claritev's provider search and payer-provider data exchange capabilities.
  • Quest Analytics: Provider network management and network adequacy analytics platform that directly competes with MultiPlan's provider directory and network verification offerings.
  • Availity: Healthcare provider engagement platform offering provider search, eligibility verification, and payer-provider data exchange solutions that overlap directly with MultiPlan's provider network services.
  • symplr: Healthcare operations platform offering provider data management, credentialing, and payer enrollment solutions that compete in the same provider network services category.
  • Zelis: Healthcare cost management platform offering network management, claims editing, and payment integrity solutions that compete head-on with MultiPlan/Claritev's cost management portfolio.
  • Edifecs: Healthcare data interoperability platform offering payer-provider data exchange, prior authorization, and clinical attachment solutions comparable to MultiPlan's network participation verification workflow.
  • Cotiviti: Healthcare payment integrity and analytics platform with provider network management capabilities that overlap with MultiPlan/Claritev's cost management offerings.

Emerging players

  • Phynd Technologies: Provider data management platform focused on healthcare provider directories and network management, competing in the same niche as MultiPlan's Claritev Provider Search tool.

Broad incumbents

  • HealthEdge: Healthcare payer technology platform offering core administration, care management, and provider network solutions as part of a broader portfolio that overlaps with MultiPlan's network management capabilities.
  • Experian Health: Healthcare data and analytics provider offering provider directory, eligibility verification, and revenue cycle management as part of a broader healthcare information portfolio relevant to MultiPlan's payer-provider data exchange.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks4 records

Key highlights4 records

Customer concentration

MultiPlan social profiles

Digital presence

MultiPlan financial estimates

Financial estimate

Revenue estimate

Valuation estimate

MultiPlan leadership team

Management profile

Number of profiles

MultiPlan funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

MultiPlan M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MultiPlan

What does MultiPlan do?

MultiPlan (doing business as Claritev) provides healthcare cost management solutions centered on a provider network search platform. The Claritev Provider Search tool allows healthcare providers to locate and verify network participation status through an online portal, supporting connections between payors, providers, and patients via network-based services.

When was MultiPlan founded?

MultiPlan was founded in 1980. It employs 1,001 to 5,000 people.

Where is MultiPlan based?

MultiPlan is headquartered in West New York, United States, in the North America region.

Who are MultiPlan's main competitors?

Direct peers on record are Change Healthcare (Optum), Quest Analytics, Availity, symplr, Zelis, Edifecs and Cotiviti. Phynd Technologies is listed as an emerging player. Broad incumbents are HealthEdge and Experian Health.

Does MultiPlan have an API?

No public API is recorded for MultiPlan.

What industry is MultiPlan in?

MultiPlan's product category is Healthcare Network Management. Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 54151 and its SIC code is 7372.

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Live signals
Joplin GlobeBartko Pavia Secures Landmark California Appellate Victory, on Behalf of one of its Hospital Clients, Reviving Antitrust Claims Against MultiPlanThe California Court of Appeal ruled that health insurer reimbursements to hospitals and physicians are subject to antitrust scrutiny if fixed through collusive conduct. The decision, a first of its kind, could reshape healthcare antitrust litigation nationwide. The court also noted that such fixed prices may be considered prices in antitrust analysis.MorningstarBartko Pavia Secures Landmark California Appellate Victory, on Behalf of one of its Hospital Clients, Reviving Antitrust Claims Against MultiPlanThe California Court of Appeal ruled that health insurer reimbursements to hospitals and physicians are prices subject to antitrust scrutiny, reviving claims against MultiPlan. The decision, certified September 21, 2026, found no basis for exempting such payments from California's Cartwright Act. The case returns to trial court for further proceedings.Beckershospitalreview5 health system vs. payer lawsuits to watchHealthcare providers and insurers are engaged in multiple overlapping lawsuits over reimbursement disputes, network penalty policies, and alleged manipulation of the No Surprises Act arbitration process, with antitrust claims also targeting vendors MultiPlan (now Claritev) and Zelis that facilitate out-of-network rate setting. Major settlements include a $2.8 billion provider settlement with Blue Cross Blue Shield plans, approved in August 2025, and a $2.67 billion subscriber settlement that began distributing payments in 2026, with nearly 6,500 providers opting out to pursue separate claims. A federal judge allowed key antitrust claims against MultiPlan to proceed in June 2025, and Arizona's attorney general filed a separate antitrust lawsuit while the Justice Department reportedly conducts a criminal price-fixing investigation.Insurance Business AmericaNew lawsuit accuses MultiPlan, insurers of out-of-network pricing "cartel"A new antitrust lawsuit was filed July 9, 2026, in the U.S. District Court for the Northern District of Illinois accusing MultiPlan (now called Claritev) and approximately two dozen insurers and plan administrators of forming a pricing cartel to suppress out-of-network insurance payouts. The plaintiff, HealthLGX, alleges that MultiPlan sold insurers a common pricing methodology used collectively to drive payments below competitive levels, and that this suppression tainted the FAIR Health benchmark data used industry-wide, affecting even insurers that never directly used MultiPlan's services. The lawsuit seeks treble damages, disgorgement, and an order halting the conduct under Section 1 of the Sherman Act alongside state antitrust statutes.pegnShopping malls bet on creating neighborhoods to attract consumersShopping mall operators are partnering with developers to build master-planned neighborhoods around their properties, aiming to attract higher-income customers. Allos' Campinas project includes 17 towers with a gross sales value of R$4.5 billion, while Iguatemi's Casa Figueira is expected to reach R$10 billion. The strategy monetizes existing land and increases foot traffic, though launch pace has slowed due to economic conditions.Arizona Daily StarArizona sues major health insurance companies for 'price fixing'Arizona Attorney General Kris Mayes filed a lawsuit against major health insurance companies including CVS Health (parent of Aetna), Humana, Cigna, UnitedHealth, Centene, Molina Healthcare, and Blue Cross subsidiaries, alleging they engaged in price fixing through MultiPlan's algorithm. The lawsuit claims the algorithm, used by all defendants, produced unreasonably low reimbursements for medical services, eliminating competition and forcing doctors and patients to absorb the difference between actual costs and below-market payments. CVS Health denied the allegations, saying the company will defend itself vigorously.openPR.comEmerging Growth Trends Driving the Expansion of the Big Data Healthcare MarketThe big data healthcare market is projected to grow to $87.37 billion by 2030, with a compound annual growth rate of 20.9%, driven by demand for personalized medicine analytics, AI-powered diagnostic tools, and wearable device integration. In May 2023, US-based MultiPlan Corporation acquired Benefits Science LLC to strengthen its analytics services portfolio for healthcare payers and providers. Additionally, Inovalon launched a new data and analytics platform on the Snowflake AI Data Cloud in September 2025 to support population health management and clinical decision-making.JD SupraWhy the MultiPlan Case Matters to All ProvidersA massive federal antitrust lawsuit (In re: Multiplan Health Insurance Provider Litigation) consolidated in Chicago involves 317 healthcare provider plaintiffs suing 35 defendants, including all major U.S. health plans and cost-management firm MultiPlan, alleging price-fixing of out-of-network reimbursement rates. On June 3, 2025, Judge Matthew Kennelly issued a 51-page ruling refusing to dismiss most claims, making significant findings about health plan market power and conspiracy that could support broader antitrust litigation against health plans.Towards HealthcareClinical Data Analytics Market Size Soars 27.57% CAGR by 2034The global clinical data analytics market is projected to expand from USD 81.65 billion in 2024 to USD 930.01 billion by 2034, growing at a CAGR of 27.57%, driven by increasing clinical trials, adoption of electronic health records, and rising demand for personalized care. North America dominated the market in 2024 due to the presence of key players and robust healthcare infrastructure, while Asia-Pacific is expected to be the fastest-growing region. Notable recent developments include Clario's collaboration with Amazon Web Services, Innovaccer's Series F funding of USD 275 million, and product launches by MultiPlan Corporation and Synapxe.BenzingaMultiPlan Gains Investor Support For Refinancing Plan, Shares SurgeMultiPlan Corporation disclosed a comprehensive refinancing plan supported by noteholders and lenders representing approximately 78% of its outstanding debt, which caused shares to surge 90.9% to $12.24 on Tuesday. The plan includes replacing revolving credit commitments with $350 million in new first-lien revolving credit maturing in 2029, exchanging 2028 maturing term loans for up to $325 million in new first-lien term loans and $1.14 billion in second-lien term loans maturing in 2030, and exchanging existing senior secured, unsecured, and convertible notes for new debt instruments with staggered maturities. CEO Travis Dalton stated the refinancing supports the company's Vision 2030 transformation plan focused on becoming a data and technology-forward healthcare cost management company, with the company holding $86.6 million in unrestricted cash as of Q3 2024.