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Quality Intelligence solution

Measure and report HEDIS and HEDIS-related metrics your way

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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. Named the 2024 Best in KLAS® solution for payer quality measurement and reporting, with fully NCQA-certified quality measure logic—health plans are in good hands.

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.

In fact, more than 147 million members reported to NCQA for measurement year (MY) 2023 were processed through Quality Intelligence.

Read our fact sheet and learn more about how Quality Intelligence enables plans to:

  • 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

HEDIS® is a registered trademark of the National Committee for Quality Assurance.