Large Medicaid payer protects taxpayer dollars, financial integrity with prepay review
Learn why one large Medicaid plan realizes value from Cotiviti's prepay solutions and differentiated service model.
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Cotiviti Case Studies
Learn how Cotiviti's health plan customers solved their challenges in payment integrity, risk adjustment, quality improvement, and member engagement.
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Medical pharmacy data mining innovation uncovers significant findings for large national plan
Learn how a multi-state managed care organization identifies complex pharmacy errors and more with Cotiviti’s solutions.
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Prepay coordination of benefits (COB) boosts payment integrity results for large national payer
Learn how health plans can prevent overpayments, reduce future erroneous payments, and confirm that primary payment responsibility is correctly assigned—all while lowering provider abrasion.
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Regional Blue Plan performs beyond expectations with Data Mining
Learn how Cotiviti helped deliver a significant increase in overpayment recoveries through data mining expertise.
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Prioritizing prepay integrity strengthens mid-sized health plan's competitive position
Learn how one mid-sized health plan uses prepay claim editing to improve its competitive position.
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Unparalleled analytics inform key payment integrity decisions for large payer
Discover how cross-payer analytics drove payment integrity success for one of Cotiviti's health plan clients.
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Prepay claims editing improves payment accuracy for self-funded employers
Learn how Cotiviti helped one benefit administrator prevent $28M in inappropriate payments for clients.
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Highmark Wholecare prevents FWA with Claim Pattern Review
Learn how Highmark Wholecare prevented improper payments and FWA with Cotiviti's prepayment integrity solution.
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Health plan finds new value with AI-enabled clinical reviews
See how the safe application of AI can drive additional value and improve health plan results—without replacing human expertise.
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National health plan deploys Eliza for secure digital engagement with members
Learn how one national health plan deployed Eliza to launch an innovative campaign with secure digital-linked text messages, IVR outreach, and email to reach members with diverse care needs.
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Health plan protects financial integrity with prepay review solutions
Learn how the largest Medicaid payer in one state protects its financial integrity with Payment Policy Management and Coding Validation.
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FWA Insights: Prepay review leads to >$100K in projected annual savings
Learn how Cotiviti's SIU identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.
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Unlocking valuable SDoH data and connecting members to care with Eliza secure digital outreach
Learn how one large regional health plan reached >90% of its targeted members with multi-channel outreach.
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Discover the impact of prospective DRG validation
Learn how Clinical Chart Validation enabled one plan to streamline and optimize DRG review while improving quality and the provider experience.
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Medicaid plans leverage Eliza to reach members during redetermination
Learn how three health plans of all sizes worked with Cotiviti to conduct redetermination campaigns with Eliza, Cotiviti's multi-channel consumer engagement platform.
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Data Mining for pharmacy payment errors yields high savings
See how Cotiviti’s Data Mining pharmacy solution uncovered millions in inaccurate payments for two health plans using predictive analytics and specialist validation.
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Large, multi-state plan realizes significant savings in a complex environment
Read our Savings Spotlight and learn how a multi-state plan increased its prepay savings with Payment Policy Management.
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Large regional plan integrates Coding Validation into existing prepay solution to drive incremental savings
Read our Savings Spotlight and learn how a large plan deployed Payment Policy Management and Coding Validation for significant incremental savings and reduced abrasion.
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Leading New York plan’s operational improvements, mature policy library refinement contributes to substantial savings
Read our Savings Spotlight and learn how a large New York plan achieved better operational efficiency and savings with Payment Accuracy solutions.
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National health plan grows cost containment value with end-to-end Payment Accuracy solutions
Read our Savings Spotlight and learn how a large national health plan deployed end-to-end Payment Accuracy solutions for better prevention of inappropriate claims and savings.
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