Cotiviti
Healthcare analytics for payment accuracy, risk adjustment and quality
About Cotiviti
Cotiviti provides analytics and data-driven services to health plans and other healthcare payers, covering payment integrity, risk adjustment and quality measurement. It processes claims and clinical data to identify payment errors and care gaps.
Common use cases
- Reduce improper claim payments
- Support risk adjustment programs
- Improve quality scores
Products and services
Payment integrity
Claims review and analytics to find overpayments and errors.
Risk adjustment
Coding and analytics for risk-adjusted payment programs.
Quality and performance analytics
Measurement of quality programs for payers and providers.
Key features
- Claims analytics
- Payment accuracy
- Risk adjustment
- Quality measurement
- Clinical data analysis
Cotiviti alternatives
- OPOptum
- CHChange Healthcare
- GAGainwell
- VEVerscend
FAQs
Who is it for?
Health plans, government payers and healthcare providers.
What does it do with data?
It analyzes claims and clinical data to detect payment errors and quality gaps.
How is it priced?
Typically subscription or outcome-based service contracts.
Work at Cotiviti? Request updates to this profile. Update this profile
Compare with similar providers
All Data Governance providersAcara ClimateClimate risk analytics for agriculture and investors
AccuWeatherWeather data, forecasts and APIs for business
AcxiomCustomer data, identity resolution and audience data for marketers
AppenAI training data, annotation and model evaluation services
CGGGeoscience data, imaging and subsurface analytics for natural resources
CloudFactoryManaged workforce for data labeling and AI training data
CognismB2B sales intelligence with privacy-compliant contact data
CotalityProperty data and analytics for real estate, mortgage and insurance