Healthcare Case Studies

Case Studies

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

Dental claim review expertise nets significant savings with minimal abrasion for large dental payer

Learn how one national payer with >6M dental members has yielded significant savings by working with Cotiviti to assist with dental claim reviews.

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Prioritizing prepayment integrity savings strengthens health plan's competitive position

Read our Savings Spotlight and learn how one health plan with just under 100,000 members achieved a 3.9% annual prepay savings rate with Cotiviti in 2020.

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Layered approach delivers pre and postpay savings for mid-sized health plan

Read our Savings Spotlight and learn how one mid-sized health plan saved nearly $20 million in 2020 with Cotiviti's pre and postpay solutions.

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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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