News & Events: Details

Cotiviti Announcement


In our continued efforts to process claims in accordance with AHCCCS and Medicare claim processing guidelines, we have secured a contract with Cotiviti, Inc.

We are pleased to partner with such a recognized healthcare analytics company of the United States to achieve greater claim payment accuracy outcomes.

Under our direction, Cotiviti, Inc. will be conducting post payment reviews of paid medical claims beginning November 15, 2022. The post payment reviews to be conducted are: Retrospective Claim Accuracy (RCA) and Clinical Claim Validation (CCV). These are the same reviews that are currently being conducted, just with a new vendor, Cotiviti, Inc.

Learn about what you can expect - click here to read the full announcement!