With the provider portal, you can:

  • Check your claim review status 24/7
  • View results
  • Update contact information
  • Export data
New to working with Cotiviti?

Click here to visit our welcome page.

Whether you're new to RAC or to working with Cotiviti, we have resources to help you. 


August 24, 2020

The Centers for Medicare & Medicaid Services (CMS) is required to protect the Medicare Trust Fund against inappropriate payments which pose a risk to the Trust Fund. Therefore, we are resuming Medicare Fee-for-Service medical review activities. Due to the ongoing national coronavirus disease 2019 (COVID-19) pandemic, and the potential need for providers and suppliers to allocate their resources to public health activities, we are temporarily limiting reviews to Dates of Service preceding March 1, 2020.

July 8, 2020

Please see the updated COVID-19 FAQs in the April 27th section below.

April 27, 2020

For information related to COVID-19 and the current national emergency please see the following:

CMS Current Emergencies Page

Provider Burden Relief FAQs

Recent update: April 8, 2019

CMS often receives referrals of potential improper payments from the MACs, UPICs, and Federal investigative agencies (e.g., OIG, DOJ). At CMS discretion, CMS may require the RAC to review claims, based on these referrals. These CMS-Required RAC reviews are conducted outside of the established ADR limits.

Recent update: December 11, 2018

As of Friday, December 11, 2018, access to the Provider Portal will require an email address, password, and an authentication code. For more information, please see the Provider Portal User Guide located in the "How-to materials" section.

Recent update: October 3, 2018

Effective October 8, 2018, our new address is:

Cotiviti, Inc.

Hillcrest III Building

731 Arbor Way, Suite 150

Blue Bell, PA 19422

Please send all correspondence to this address.  Our other contact information (phone, fax, and email) remains the same.


Recent update: April 23, 2018

Medicare FFS Recovery Audit Contractors (RACs) are approved by CMS to review Periodic Interim Payment (PIP) Providers under CMS New Issue #0001 MS-DRG Validation.  Claims that are selected for review will have ADRs sent within 6 months of the date of services for facilities receiving Periodic Interim Payments (PIP).


Recent update: January 9, 2018

As of 1/31/2018, the Region C contract will be closed and all Cotiviti provider support services for these claims will end.  As of this date, Region C claims will not be displayed on the Provider Portal and Provider Service will not be able to respond to inquiries.  If you have questions about a Region C claim(s) after 1/31/18, please contact your Medicare Administrative Contractor.  Please note:  This does not apply to Regions 2 and 3.  The auditing activity for these regions will continue.


March 6, 2017
Audit Activity Begins 

CMS has given approval for Cotiviti to begin audit activity for RAC Regions 2 and 3.  Click here to be taken to the CMS Approved Issues list.

Click here to see a description of prior Recovery Audit contract modifications, and their effective date(s).  

How-to materials

Use the Provider Portal

Logging in and navigation

Submit Documentation

Methods and formatting requirements

Submit a Discussion Request or Physician-to-Physician Review

Fillable Discussion Request Form

Update Your Contact Information - Individual Provider

Address, fax, email, contact of record

Update Your Contact Information - Multi-Provider

Address, fax, email, contact of record

Knowledge Base

Approved Issues

All CMS-approved reviews by type and state

RAC Frequently Asked Questions

Thorough answers to quick questions

Sample ADR

Additional documentation request from Cotiviti

Contact Us

Provider Service

(866) 360-2507
(inquiries only, no medical documentation)

Provider Service Specialists are available Monday through Friday from 8:00 am to 6:30 pm EST excluding federal holidays

Fax: (203) 529-2995

Mailing Address

Cotiviti - CMS Recovery Audit
Hillcrest III Building
731 Arbor Way, Suite 150
Blue Bell, PA 19422


Program Oversight

Cotiviti CMS Recovery Audit
Program Director - Region 2
Kenneth Turturro
Vice President

Dr. Erica Belton M.D.
Medical Director

Cotiviti CMS Recovery Audit
Program Director - Region 3
Michael Hoffman

Dr. James Lee, D.O.
Medical Director


Additional Information

CMS Manuals

Council for Medicare Integrity

Medicare Coverage Database

Medicare FAQ

Recovery Audit Program Overview Accessibility and Compliance with Section 508

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