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Contract Compliance

Cotiviti’s Contract Compliance solution enhances accuracy in the application of liability, coverage, and payment terms for contracted agreements. Our healthcare claim accuracy experts use proprietary analytics and data-mining tools to find overpayments that might otherwise go undetected. We work with our payer clients to configure claim reviews specific to relevant regulation and contracted policy. When we identify an error, we provide clients with full details and supporting documentation, then work closely with them to facilitate recovery—all with minimum disruption to providers and network relationships.

Benefits

  • Safeguard contract compliance at every point in the claim payment cycle
  • Identify overpayments that might otherwise go undetected using advanced analytics
  • Gain help from contract management experts to improve payment accuracy while minimizing provider disruption
  • Stay price competitive while improving member satisfaction with the billing process

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