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Case study: Regional plan exceeds expectations with second-pass COB

Author Evan Okulanis

Coordination of benefits (COB) is an intricate, time-consuming process for all health plans—sifting through data assets, checking validity, establishing primacy, and more. But having a seasoned partner to cut through complexities for speed, accuracy, and detail can mean significant savings.

That’s why a regional health plan enlisted the help of Cotiviti’s retrospective COB Validation solution and started seeing results fast. Initially using Cotiviti’s prepay Payment Policy Management and Coding Validation solutions, the plan deployed COB Validation in 2024 for commercial and Medicaid lines of business as a second-pass review to find what a first pass might have missed, including more complex issues.

About the Author

Evan supports Cotiviti's Coordination of Benefits (COB) Validation solution as vice president of operations. He has more than 11 years of experience with Cotiviti's COB solution and is responsible for the strategy and value delivery of our COB team across both prepay and postpay.

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