Payment Accuracy solutions
Unlock value, increase efficiency, and improve performance across the payment cycle with one partner
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Payment Accuracy solutions
Unlock value, increase efficiency, and improve performance across the payment cycle with one partner.
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Payment Policy Management solution
Avoid payment errors before claims get paid
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Coding Validation solution
Further reduce claim spend after claim editing programs
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Prepay claim integrity for TPAs
Increase revenue by saving health plan sponsors up to 4% on annual claim spend
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Clinical Chart Validation solution
Find more value with less administrative burden and provider abrasion
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Coordination of Benefits (COB) Validation solution
Achieve greater accuracy from prospective and retrospective COB determinations
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Cotiviti SIU Services
Investigative and clinical support for health payers
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360 Pattern Review solution
Prevent and recover more healthcare fraud, waste, and abuse with an integrated pre and postpay FWA solution
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Claim Pattern Review solution
Prevent FWA before claims are paid and flag providers that warrant immediate investigation
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FWA Pattern Review solution
Improve fraud, waste, and abuse (FWA) detection and recoveries with an expert-driven managed service model
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Contract Compliance solution
Confirm adherence to complex payment contractual terms and regulations
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Dental Claim Accuracy solution
Reduce the costs of inappropriate dental claims
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Data Mining solution
Identify and recover billing and payment errors through advanced analytics and specialist validation
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