Claim Accuracy solutions are part of Cotiviti's
Payment Accuracy solution suite.
Healthcare payers are under immense pressure to deliver the best possible member experience while reducing medical loss ratio (MLR) to help ensure their long-term sustainability. But frequently shifting payment policies, contracts, regulations, and more make it all-too-easy for inappropriate claims to slip through the cracks and get paid, driving up waste and increasing costs for everyone involved.
With our Payment Policy Management solution as the enabling technology, Cotiviti can ingest multiple data feeds just once for use throughout our Payment Accuracy solutions, including:
Learn more about our industry-leading solutions that deliver pre and postpay claim accuracy, eliminating both simple and complex errors while reducing improper payments by billions of dollars per year across our payer clients.
Identify improper claims before payment
Reduce costs from clinically complex claims
Find more value from clinical review and validation
Identify and recover complex billing and payment errors
Identify suspect claims early and improve prepay dental claim integrity