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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. A top performer in the 2023 Best in KLAS® ratings for payer quality analytics, 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 61% of all members reported to NCQA for measurement year (MY) 2021 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.