Case Studies

Learn how Cotiviti's customers solved their challenges in partnership with our organization.

Strategic focus on prepayment claim accuracy leads to nearly $100M in savings for one Blue Plan

Read our Savings Spotlight and learn how one regional Blue Plan serving more than 4 million members achieved nearly $100 million in savings with Cotiviti's prospective payment integrity solutions.

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New York health plan cracks massive diagnostic testing scheme for pre-pay FWA savings

Learn how a major New York health plan worked with Cotiviti to realize more than $10.5 million in savings from one major investigation.

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Accelerating value-driven care: A comprehensive approach to provider specialty tiering

Learn how a major North Carolina health plan uses Cotiviti's Network Intelligence solution to support a provider specialty tiering program centered on value-based care.

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Advanced analysis and collaboration drives $1M+ overpayment recovery success for Health Partners Plans

Learn how Health Partners Plans of Pennsylvania successfully recovered more than $1 million in overpayments related to upcoding from a provider group in partnership with Cotiviti.

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How a major Minnesota health plan built a strong case leading to a chiropractor's fraud conviction

Learn how a Minnesota payer serving more than 2.5 million members caught a chiropractor's fraudulent scheme and reported it to law enforcement.

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Powerful, nimble data analytics provide market differentiation for The Partners Group

The Partners Group works primarily with larger employers that self-fund healthcare for their employees. Learn how the firm uses Cotiviti's Medical Intelligence to drive value for its clients.

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