Cotiviti B2B Case Studies & Customer Successes

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Cotiviti is a leading solutions and analytics company that is reshaping the economics of healthcare, helping its clients uncover new opportunities to unlock value. Cotiviti’s solutions are a critical foundation for healthcare payers in their mission to lower healthcare costs and improve quality through higher performing payment accuracy, quality improvement, risk adjustment, and network performance management programs.

Case Studies

Showing 16 Cotiviti Customer Success Stories

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Beasley Allen Law Firm achieves faster turnaround, cost savings, and higher productivity with Cotiviti's MediConnect Record Retrieval

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CareOregon achieves measurable HEDIS quality improvements and Five Star ratings with Cotiviti

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Children’s Community Health Plan achieves better care coordination and improved quality measures (16% asthma controller fill increase) with Cotiviti (formerly Verscend)

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Health Partners Plans achieves over $1M in upcoding overpayment recovery with Cotiviti's FWA solutions

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Healthcare Partners Company recovers more than $1M in provider overpayments with Cotiviti's FWA solutions

How a strategic focus on prepayment claim accuracy led to nearly $100M in savings for one Blue Plan

Layered (mid-sized health plan) achieves $19.5M in pre- and postpay savings with Cotiviti

Major Health Plan in North Carolina achieves over 50% value-based care adoption and smarter provider specialty tiering with Cotiviti

Major Minnesota Health Plan Provider achieves chiropractor fraud conviction and restitution with Cotiviti FWA Solutions

Major Minnesota Health Planning Company achieves chiropractor conviction with Cotiviti's FWA Solutions

Major New York Health Company achieves $10.5M in savings and prevents $41M in inappropriate spending with Cotiviti

New York Health Plan Provider achieves $10.5M recovery and prevents $41M in improper payments with Cotiviti

OSF HealthCare achieves proactive population health management and cost savings with Cotiviti

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The Partners Group (financial services firm) achieves market‑differentiating, actionable healthcare analytics and population‑health insights with Cotiviti's Medical Intelligence

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WCF Insurance achieves faster claims decisions and dramatically reduced turnaround time with Cotiviti's MediConnect Record Retrieval

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Western Health Advantage achieves enhanced reporting, ACA compliance, and better patient care with Cotiviti Provider Intelligence

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