Cotiviti Payment Clarity™
Enhancing transparency and decision-making through a unified portal
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Solution Fact Sheet
Quickly get up to speed on Cotiviti's payment integrity, risk adjustment, and quality and performance analytics solutions.
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Health Enablement solutions
Learn how Cotiviti’s Health Enablement solutions empower payers to support more effective healthcare delivery through a portfolio of tools across Quality and Stars, Risk Adjustment, and Engagement.
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Engagement Hub solution
Optimize member identification and outreach
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Second Level Review solution
Expertise and technology combine to improve coding results
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Enabling a high-quality and viable healthcare system
With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations.
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360 Pattern Review™ solution
Prevent and recover more healthcare and dental FWA with an integrated pre and postpay solution
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FWA Pattern Review™ solution
Improve fraud, waste, and abuse (FWA) detection and recoveries with an expert-driven managed service model
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Prepay claim integrity for TPAs
Increase revenue by saving health plan sponsors up to 4% on annual claim spend
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Star Intelligence solution
Optimize Medicare Advantage Star Ratings
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Eliza Secure Digital solution
Safely engage with healthcare consumers
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Eliza Health Risk Assessments
Improve Medicare Advantage HRA completion rates with multi-channel engagement
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Cotiviti GOV Services
Enabling government agencies to maintain payment integrity, optimize risk adjustment, and improve quality outcomes
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Quality Intelligence Integration solution
Improve measure rates, provider performance, and clinical outcomes through intervention of actionable insights—all within the Medical Intelligence platform
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Eliza Childhood Immunization Solution
Improve childhood vaccination rates with multi-channel engagement
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Coordination of Benefits (COB) Validation solution
Achieve greater accuracy from prospective and retrospective COB determinations
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Clinical Chart Validation solution
Find more value with less administrative burden and provider abrasion
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Quality Intelligence solution
Measure and report HEDIS and HEDIS-related metrics your way
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Medical Record Abstraction solution
Ensure thorough documentation of compliant care to improve quality scores
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Medical Intelligence solution
Gain insights into every facet of healthcare utilization
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DxCG® Intelligence solution
Clearly identify, stratify, and manage individual and population risk
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