Coordination of Benefits Validation solution benefits and features

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:

• Significant savings for all lines of business. Cotiviti provides a six sigma level of accuracy of 99.97% (measured by administering policy according to client wishes). Serving 90+ payers—including 21 of the top 25—means our services are familiar to nearly all networks.
• Trustworthy expertise. Cotiviti serves five of the top six largest payers in the U.S., 14 managed Medicaid plans in 39 states, and 15+ Blue Plans. Validate claims against COB analytics developed, tested, and honed over 20+ years across multiple payers and all lines of business.
• Analytically driven member section. Cotiviti’s enhanced analytics and sophisticated business rules allow us to focus on the 5–10% of members with the highest probability of other insurance.
• Low total cost of ownership. Work with a solution that doesn’t break the bank. Cotiviti delivers high quality, low client burden, and competitive pricing.
• Low impact to your membership. Cotiviti does not contact members to validate COB findings.
• Significantly reduced administrative burden. Integrated recovery management and appeals include findings validation, offset management support, recovery management, and at least first- and second-level appeals support.

*Source: TechValidate. TVID: 3A1-FC0-C4E