Celerity Solutions
One engine. Every cost containment need.
Clearinghouse, network, contract pricing, payment integrity, out-of-network, and RBP configured to work together, in one place.
Stop building a bigger vendor stack.
Every point solution you've added solved one problem and created a contract, an integration, a file exchange and a reconciliation process. Celerity consolidates for you all at once, or one capability at a time.
Core capabilities
Clearinghouse
One entry point for every claim however it arrives: EDI 837, API, and paper through mailroom and OCR. Multi-group acquisition feeds one workflow.
Benefit Configuration
Real-time eligibility and benefits (270/271), member lookup, plan validation and coverage check determine how each claim should be handled.
Logic-Based Claim Routing
Rules by network, geography, provider, employer group, line of business or claim type decide where each claim goes next.
Network & Contract Pricing
Medicare, UCR, fee schedules and edits, plus complex provider contracts across CPT/HCPCS, DRG and revenue codes.
Out-of-Network or RBP
Medicare-level pricing, negotiation, balance bill and appeals management, legal defense, SPD support and NSA tools.
Configurable Rules Environment
Pricing logic, routing logic, group configuration and vendor relationships managed at network, administrator, group or employee level.
Centers of excellence
Rental networks
Direct contracted providers
Carrier-sponsored networks
PPOs
RBP
High-performance networks
Value-based networks
Regional health plans
Out of network
Carve-outs — dialysis, genetic testing, lab
Clean, repriced, validated 837/835 to the payer with real-time visibility in the client portal.
$1.5B+
CLAIMS OPTIMIZED
MONTHLY
MONTHLY
SOC 2
CERTIFIED
Inc. 5000
FASTEST GROWING
COMPANY
COMPANY
120+
HEALTH PLAN AND
TPA CONNECTIONS
TPA CONNECTIONS
How clients use Celerity today
CONFIGURATION
WHAT IT DOES
BEST FOR
Full Vendor Consolidation
Replaces multiple vendors with one engine, one implementation and one point of accountability.
Organizations looking to simplify, eliminate redundancies and reduce cost.
Simplified Clearinghouse Solution
Celerity as the front door: payer ID setup, intake, digitization, 270/271 and configurable routing.
Organizations needing a modern clearinghouse without an outdated model attached.
PPO Network Stack Configuration & Pricing
High-performance, regional and rental networks with out-of-network and RBP — no separate workflow for each.
Organizations managing multiple networks, pricing methodologies or costmanagement partners.
PPO Contracting Solutions
Supports complex provider contracting structures so the right pricing logic applies automatically on arrival.
PPOs, networks and organizations with sophisticated contracting requirements.
Why Celerity
Configured around your business
Different rules by client, employer group, geography, line of business or claim type inside one environment.
Already connected
120+ health plan and TPA connections mean most implementations start from something already built.
Fee and savings guarantee
Transparent pricing with no hidden fees, and a guaranteed reduction in out-ofnetwork cost.
Secure by default
SOC 2 certified, with published security commitments and a public status page.