Marpai expands Claritev deal to add claims payment tools

Marpai, Inc. (OTCQX: MRAI) has expanded its existing agreement with Claritev Corporation (NYSE: CTEV) to include pre- and post-payment integrity capabilities across the claims lifecycle, according to a press release from Claritev.

Marpai, a third-party administrator serving self-funded employer health plans, previously used Claritev's PHCS Network to access healthcare providers and negotiated rates outside its clients' primary networks. The expanded agreement adds solutions including Advanced Code Editing, Itemized Bill Review, Diagnosis-Related Group Validation, Data Mining, Coordination of Benefits, and Specialty Claim Reviews.

The additional services are designed to help Marpai identify potential billing errors, waste, and inappropriate payments before and after claims are paid. The expanded services are expected to be implemented within 90 days.

Claritev said the new capabilities are expected to help identify millions of dollars in potential savings opportunities for Marpai's self-funded employer clients, though no specific figure was provided.

"Employers are looking for every opportunity to manage rising healthcare costs while continuing to provide strong benefits for their employees," said Steve Johnson, Chief Financial Officer of Marpai. "Expanding our relationship with Claritev gives us access to a broader set of capabilities that can help improve claim payment accuracy, identify meaningful savings, and deliver greater value for our clients."

Marpai cited Claritev's breadth of capabilities, national scale, and approach to AI governance as factors in its decision to expand the relationship.

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