Quality Intelligence, Cotiviti’s measurement and reporting software with fully NCQA-certified quality measure logic, sets the standard for efficiency, ease-of-use, and customer satisfaction. Health plans can track, monitor, and improve quality compliance; develop and measure proprietary quality metrics; facilitate HEDIS®, Star Ratings, and other quality measure submissions; and implement a year-round measurement and reporting program that significantly improves health plan rankings. Maybe that’s why >60% of all members reported to NCQA in 2020 were processed through Quality Intelligence.

• Drill down to member-level claim detail for optimal insight and analysis
• Take advantage of intuitive medical record review templates for data entry
• Create HEDIS submission files simply and efficiently
• Customize views to display the most meaningful data and facilitate smooth workflows
• Create and customize reports easily for deeper insights into how to improve provider-related and other key metrics
• Set goals and benchmarks to monitor progress in real time