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Data Mining solution

Identify and recover billing and payment errors through advanced analytics and specialist validation

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Cotiviti’s Data Mining solution leverages advanced analytics and data mining tools to find and recover high-value overpayments—without impacting critical provider relationships. And our specialists go a step further by performing root-cause analysis to understand why an overpayment occurred and how it can be prevented in the future for improved payment integrity.

Data Mining is flexible to meet individual business goals and can be applied to many claim types and areas of spend including inpatient, outpatient, and professional claims.

  • Save an additional 0.50% on medical spend
  • Customize claim reviews to investigate unidentified billing compliance issues
  • Ensure a positive provider experience through fully validated findings and detailed communication
  • Safeguard your proprietary information with a neutral partner