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Clareto announces partnership with Diameter Health to streamline insurance processes

Press releases may be edited for formatting or style | April 06, 2020 Health IT Insurance
RICHMOND, VA – April 6, 2020 – Clareto, an innovator in acquiring electronic health data for insurance underwriting and claims processes, today announced its partnership with Diameter Health, developer of the leading platform for clinical data normalization and enhancement. Clareto will now offer an additional product, powered by Diameter Health’s technology, to significantly improve the look, feel and usability of electronic health data acquired through the Clareto network of HIEs, provider organizations, and technology vendors.

Clareto recognized that existing health records have a lot information that can be duplicative or not important for the insurance use case, making it difficult to digest and time-consuming for end-users to review. Combining multiple records from different sources magnifies these problems. It sought a technology partner that would provide insurance carriers with the clean, reliable clinical data needed to make accurate risk assessments and adjudicate claims. It ultimately selected Diameter Health for its platform’s ability to cleanse and enrich clinical data from any certified EHR – and for the company’s proven success with dozens of the nation’s leading HIEs as well as national and regional health plans.

“The insurance industry has access to more clinical information than ever before, but end-users aren’t able to derive much value when they have to trudge through disorganized, redundant data,” said Dave Dorans, CEO at Clareto. “We’re excited to work with Diameter Health to deliver clean clinical insights across our entire network so our customers can modernize the underwriting processes and accelerate their time-to-value.”

Now working with Diameter Health, Clareto will provide clients with a carrier-friendly view of clinical data that is normalized, consolidated, enriched and deduplicated. This output reduces the likelihood of a carrier missing a crucial condition or impairment by highlighting abnormal or critical pieces of information. The improved presentation of the data will allow carriers to both expedite their review of records and enable more accurate decision-making.

“Just as we have seen with our health insurance customers, life and disability insurance carriers face the same data quality challenges that arise from the variability that pervades the healthcare data ecosystem,” said Eric Rosow, CEO at Diameter Health. “We look forward to working with Clareto to relieve administrative burden so analysts and underwriters in its network have easy access to the information they need, when they need it.”

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