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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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A national health plan supporting commercial, Medicaid, and Medicare Advantage lines of business turned to Cotiviti more than two decades ago after discovering large losses due to errors, waste, and abuse. A Cotiviti Payment Policy Management client since 2002, the plan has since implemented end-to-end prepay and postpay solutions including Coding Validation, COB Validation, Clinical Chart Validation, Data Mining, and Contract Compliance.

Read our Savings Spotlight and learn how the plan experienced:

  • Improved payment integrity savings with an emphasis on prevention
  • Increased flexibility to scale to membership growth
  • Minimized COVID-19 impact on claim operations