Clarity Performance Solutions

Clarity Performance Solutions is a healthcare-focused BPO company based in Overland Park, Kansas, and an MDI NetworX company. They work exclusively with health payers, health plans, and third-party administrators, offering outsourced claims administration, contact center services, and AI-infused member engagement programs that give payer organizations the operational capacity to run tighter, more cost-effective operations. Their claims management offering is the flagship service. Health plans dealing with backlogs, staffing gaps, or system conversion headaches can hand off this back-office work to Clarity's experienced team, which handles backlog reduction, medical records review, audits, QA, provider contracting, file maintenance, and both new hire and examiner training. The average tenure among their claims processing staff is 10 years, which means clients are working with people who know this space deeply, not first-year ramp-ups. On the contact center side, Clarity acts as a direct extension of the health plan's team, fielding member and provider calls on benefits and eligibility, claim status, and related inquiries. Their call center USA operation manages omni-channel support, new hire onboarding, and ongoing agent training to keep quality consistent at scale. A published case study describes how they helped a large regional payer organization hold contact center turnover below 5% across multiple lines of business, a benchmark most payer contact centers struggle to hit. The third service line is member engagement. Clarity combines population health data, social determinants of health factors, and a purpose-built engagement platform to connect with the right members at the right time. The approach is predictive rather than reactive, and the goal is closing care gaps, improving patient experience, and reducing downstream costs for the health plan. This AI-ready BPO capability sets them apart from providers that offer only transactional processing. With 25 years of health plan administration and BPO leadership experience behind the management team, and a decade of consistent delivery to current clients, Clarity brings institutional knowledge that newer outsourcing firms cannot easily replicate. Their model is built for flexibility, adapting to each client's existing workflows, processing platforms, and policies rather than forcing a one-size approach. Health plans or TPAs looking to stabilize claims operations, strengthen contact center performance, or build a smarter member outreach program are encouraged to reach out to Clarity Performance Solutions and schedule a conversation about their specific operational challenges.