Cotiviti is certified by CMS for the Qualified Entity Certification Program, to utilize claims data to evaluate provider practice pattern variation, appropriateness, quality, efficiency, effectiveness, and resource use.

Cotiviti has achieved HITRUST Common Security Framework (CSF®) certification for its core healthcare solutions and services. This validates that Cotiviti is committed to meeting key regulations and protecting sensitive information.

For 22 consecutive years, Quality Engine, the administrative measure logic and systematic sample processing component of Cotiviti’s Quality Intelligence solution, has earned Healthcare Effectiveness Data and Information Set (HEDIS^®) Certified Measures^TM status from the National Committee for Quality Assurance (NCQA).

Cotiviti is an Affiliate Member of America’s Health Insurance Plans (AHIP), the national trade association representing the health insurance community.

Cotiviti is a Premier Supporting Member of the National Health Care Anti-Fraud Association (NHCAA), the leading national organization focused exclusively on the fight against healthcare fraud.

Cotiviti’s Dental Claim Accuracy solution is reviewed via guidelines required by state licensing as a Utilization Management Agent and is accredited by the National Committee for Quality Assurance (NCQA) in Utilization Management.

Cotiviti is a Platinum Sponsor of the Resource Initiative & Society for Education, the premier community for healthcare professionals who aspire to meet the extraordinary challenges posed by the emerging landscape of accountable care and government healthcare reform.

Cotiviti is a sponsor of the National Association of Dental Plans, the representative and recognized resource of the dental benefits industry. NADP’s mission is to improve consumer access to affordable, quality dental care through advocacy, research, and the promotion of dental benefits.

Cotiviti is a sponsor of Health Plan Alliance, a national organization that brings provider-sponsored and independently owned health plans together with their health system and provider group leaders for unparalleled peer-to-peer collaboration.

Cotiviti is a member of the California Association of Health Plans, who works to sustain a strong environment in which their member plans can provide access to products that offer choice and flexibility to the Californians they serve.

Cotiviti is a member of the Association for Community Affiliated Plans, a national trade association which represents not-for-profit Safety Net Health Plans. ACAP’s mission is to strengthen these health plans in their work to improve the health and well-being of lower-income people and/or people with significant health needs.