Achieve greater accuracy from coordination of benefits determinations—both prepay and postpay
Discover more in payment integrity
Healthcare payers are under constant pressure to deliver fast payment despite the system’s complexity. Managing infrastructure, improving healthcare accessibility and quality, perfecting hundreds of processes, and staying current on claims payment policies? It can be overwhelming.
Cotiviti’s Coordination of Benefits Validation (COB Validation) solution delivers accuracy across the member journey. With both prospective and retrospective claim review, we see each member within their own context, and can offer validation at any point in the benefits coordination process.
100%
of surveyed VPs, directors, and managers of payment integrity at payer organizations agreed that Cotiviti stands out from the competition when it comes to time-to-value.*
We thoroughly review and analyze contracts, eligibility files, third-party benefits agreements, and other data sources to determine COB and payment responsibility. Our 20+ years of expertise in this specific area allows us to identify complex COB issues beyond any payment integrity vendors and programs that our clients may have in place. From this identification process, we build a store of comprehensive eligibility data and analytics that identify other commercial payer responsibilities.
95%
accuracy, with COB professional reviewers and data sources that validate findings before delivery
80%+
of overpaid findings are collected and realized as cost savings
$341M
saved by our clients in 2020, based on recovered overpayments
accuracy, with COB professional reviewers and data sources that validate findings before delivery
of overpaid findings are collected and realized as cost savings
saved by our clients in 2020, based on recovered overpayments
With Cotiviti, health plans get a combination of advanced analytics and clinically experienced professionals to review complex scenarios that often slip through audits. Improve accuracy and gain benefits that include:
*Source: TechValidate. TVID: 3A1-FC0-C4E
With more than two decades of experience in the coordination of benefits, Cotivti understands the value of context when it comes to coordinating benefits. We see members as people and value the context of their lives within the claim lifecycle. We know that people’s lives change, and Cotiviti is adaptable to these changes. We offer flexible solutions that solve for the most nuanced benefits claims and meet health plans where they are—whether that’s prepay or postpay.
Coordination of Benefits Validation is part of Cotiviti’s Payment Accuracy solution suite.
