Cotiviti works with more than 200 healthcare payers, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We take in billions of clinical and financial data points, analyze them, and help our clients discover ways they can improve efficiency and quality to better care for their members.
Through our partnership with health plans, Cotiviti helps consumers to protect their benefits by working to ensure their healthcare bills are paid appropriately and reduce fraud, waste, and abuse. Our solutions are not leveraged to deny care or question the medical determinations of providers, but rather to help avoid paying erroneous claims that unnecessarily inflate healthcare spending. These solutions help to save the healthcare system over $9.5 billion a year in billing errors that could lead to over payment.