Description of Claritev's Business Segments

Claritev serves multiple market segments, including Commercial Healthcare Payers, Third Party Administrators, Employers, Brokers/Consultants, Providers, Government Healthcare Payers, and System Integrators. Its solutions encompass Claims Intelligence, Network, Payment and Revenue Integrity, and Data and Analytics, available throughout all 50 U.S. states and the District of Columbia. The Commercial Healthcare Payers segment comprises fully-insured and self-insured health plans, with self-insured plans accounting for over 84.5% of Claritev's projected 2025 revenues, serviced through payers or directly. This segment also includes individual health plans supported by insurance companies but not sold directly to individuals. The Government Healthcare Payers segment includes Medicare, Medicaid, TRICARE, Federal Employees Health Benefits, Veterans Administration, and other federal health programs, with many commercial healthcare services applicable to these payers. Medicare Advantage plans represent a significant portion of this segment, with enrollment estimated at 34.1 million in 2025, more than doubling over the past decade.

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Composition of Claritev Corporation Revenues by Segments


Claims Intelligence Solutions	67.97 %	of total Revenue
Claims Intelligence Solutions PSAV	60.2 %	of total Revenue
Claims Intelligence Solutions PEPM	4.84 %	of total Revenue
Claims Intelligence Solutions Other	2.93 %	of total Revenue
Network Solutions	19.4 %	of total Revenue
Network Solutions PSAV	10.78 %	of total Revenue
Network Solutions PEPM	4.76 %	of total Revenue
Network Solutions Other	3.86 %	of total Revenue
Payment and Revenue Integrity Solutions	12.63 %	of total Revenue
Payment and Revenue Integrity Solutions PSAV	12.59 %	of total Revenue
Payment and Revenue Integrity Solutions PEPM	0.04 %	of total Revenue
Reportable Segment	100 %	of total Revenue

Q1 three months ended (Mar 31 2026)
Revenues by Business Segments	Revenues (in millions $)	% (of total Revenues)
Claims Intelligence Solutions	166.31	67.97 %
Claims Intelligence Solutions PSAV	147.30	60.2 %
Claims Intelligence Solutions PEPM	11.84	4.84 %
Claims Intelligence Solutions Other	7.17	2.93 %
Network Solutions	47.48	19.4 %
Network Solutions PSAV	26.38	10.78 %
Network Solutions PEPM	11.65	4.76 %
Network Solutions Other	9.45	3.86 %
Payment and Revenue Integrity Solutions	30.90	12.63 %
Payment and Revenue Integrity Solutions PSAV	30.80	12.59 %
Payment and Revenue Integrity Solutions PEPM	0.10	0.04 %
Reportable Segment	244.68	100 %
Total	244.68	100 %

Q1 three months ended (Mar 31 2026)
Revenue Growth rates by Segment	Y/Y Revenue %	Q/Q Revenue %
Claims Intelligence Solutions	8.39 %	-
Claims Intelligence Solutions PSAV	6.16 %	-
Claims Intelligence Solutions PEPM	10.33 %	-
Claims Intelligence Solutions Other	81.26 %	-
Network Solutions	1.25 %	-
Network Solutions PSAV	-8.67 %	-
Network Solutions PEPM	-6.41 %	-
Network Solutions Other	69.91 %	-
Payment and Revenue Integrity Solutions	-0.36 %	-
Payment and Revenue Integrity Solutions PSAV	-0.28 %	-
Payment and Revenue Integrity Solutions PEPM	-21.49 %	-
Reportable Segment	5.77 %	-
Total	5.77 %	-74.66 %

Q1 three months ended (Mar 31 2026)
Income by Business Segments	Income (in millions $)	% (Profit Margin)
Reportable Segment	6.64	2.71 %
Total	-73.56	-

Q1 three months ended (Mar 31 2026)
Income Growth rates by Segment	Y/Y Income %	Q/Q Income %
Reportable Segment	-31.85 %	-
Total	-	-

Annual Report on Claritev Corporation Divisions, Sales by Country


Claims Intelligence Solutions	66.28 %	of total Revenue
Claims Intelligence Solutions PSAV	59.88 %	of total Revenue
Claims Intelligence Solutions PEPM	4.35 %	of total Revenue
Claims Intelligence Solutions Other	2.05 %	of total Revenue
Network Solutions	21.41 %	of total Revenue
Network Solutions PSAV	11.83 %	of total Revenue
Network Solutions PEPM	4.88 %	of total Revenue
Network Solutions Other	4.69 %	of total Revenue
Payment and Revenue Integrity Solutions	12.31 %	of total Revenue
Payment and Revenue Integrity Solutions PSAV	12.26 %	of total Revenue
Payment and Revenue Integrity Solutions PEPM	0.05 %	of total Revenue
Reportable Segment	100 %	of total Revenue
PSAV Revenue Benchmark Contract Type	0 %	of total Revenue
PEPM Revenue Benchmark Contract Type	0 %	of total Revenue
Other Revenue Benchmark Contract Type	0 %	of total Revenue

Twelve months ended 2025
CTEV s Annual Revenue by Geography and Business Segments	Sales (in millions $)	% (of total Sales)
Claims Intelligence Solutions	639.86	66.28 %
Claims Intelligence Solutions PSAV	578.12	59.88 %
Claims Intelligence Solutions PEPM	41.99	4.35 %
Claims Intelligence Solutions Other	19.75	2.05 %
Network Solutions	206.69	21.41 %
Network Solutions PSAV	114.25	11.83 %
Network Solutions PEPM	47.15	4.88 %
Network Solutions Other	45.29	4.69 %
Payment and Revenue Integrity Solutions	118.87	12.31 %
Payment and Revenue Integrity Solutions PSAV	118.36	12.26 %
Payment and Revenue Integrity Solutions PEPM	0.51	0.05 %
Reportable Segment	965.41	100 %
Total	965.41	100 %
PSAV Revenue Benchmark Contract Type	0.00	0 %
PEPM Revenue Benchmark Contract Type	0.00	0 %
Other Revenue Benchmark Contract Type	0.00	0 %

Twelve months ended 2025
CTEV s Annual Income by Country and Business Segments	Income (in millions $)	% (Profit Margin)
Reportable Segment	-284.28	-
Total	-284.28	-

Twelve months ended 2025
Annual Revenue and Income Growth by Country and Business Segments	% Y/Y Sales Growth	% Y/Y Income Growth
Claims Intelligence Solutions	0.8 %	-
Claims Intelligence Solutions PSAV	-1.14 %	-
Claims Intelligence Solutions PEPM	11.67 %	-
Claims Intelligence Solutions Other	59.21 %	-
Network Solutions	11.55 %	-
Network Solutions PSAV	-10.73 %	-
Network Solutions PEPM	-5.72 %	-
Network Solutions Other	521.56 %	-
Payment and Revenue Integrity Solutions	7.5 %	-
Payment and Revenue Integrity Solutions PSAV	7.49 %	-
Payment and Revenue Integrity Solutions PEPM	9.87 %	-
Reportable Segment	3.74 %	-
PSAV Revenue Benchmark Contract Type	-4.98 %	-
PEPM Revenue Benchmark Contract Type	-2.11 %	-
Other Revenue Benchmark Contract Type	219.05 %	-

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