Distinction marks third consecutive year Cotiviti has been positioned as a Leader in this category

Cotiviti, a leader in data-driven healthcare solutions, has been named the highest-designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix^® Assessment 2025. This recognition is a reflection of the combined market impact, vision, and capabilities delivered by Cotiviti’s Payment Accuracy solutions.

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Cotiviti Named Highest-Designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment 2025

“As they strive to eliminate waste and ensure the accuracy and quality of their claims payments, health plans are increasingly looking for a payment accuracy partner that can deliver the breadth, depth, and scale they require across their numerous programs,” said Emad Rizk, M.D., president and CEO of Cotiviti. “This achievement underscores Cotiviti’s unwavering commitment to both prepayment and postpayment integrity as well as our market-leading client services, which eliminated over $9.5 billion in payment waste from the healthcare system in 2024 through the prevention of improper claims, which can enable those funds to be redirected toward appropriate member care and populations in need.”

“With healthcare fraud and billing errors costing the U.S. system billions of dollars annually, payers are intensifying efforts to adopt proactive payment integrity strategies that span the full claims lifecycle,” said Ankur Verma, vice president at Everest Group. “Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite. Its clients cite strong value, robust relationship management, and a deep commitment to performance as key differentiators. Investments in product innovation and the formalization of an AI Center of Excellence further aided in its positioning as a Leader in Everest Group’s Payment Integrity Solutions PEAK Matrix^® Assessment 2025.”

Everest Group’s PEAK Matrix^® is a globally recognized assessment that evaluates organizations based on key factors such as vision, capabilities, functionality, talent availability, market success, impact, and cost-effectiveness. Cotiviti has been recognized as a Leader in payment integrity solutions for each of the three years that this assessment has been published. This year, the company earned the position of the highest-designated Leader, reflecting its continuous innovation, commitment to accuracy, and proven success in delivering value to clients.

Cotiviti has been a leader in payment integrity for over 25 years and serves more than 100 payer clients with Payment Accuracy solutions, including top national health plans, regional and community plans, Blue Cross Blue Shield Plans, third-party administrators, CMS, and state Medicaid agencies.

“By offering full-service solutions across the payment continuum, driven by clinical expertise and advanced technologies including artificial intelligence and natural language processing, Cotiviti delivers total value, meaningful innovation, and deep expertise to each of our customers,” said Christopher Coloian, executive vice president of revenue and growth for Cotiviti. “This recognition highlights what truly distinguishes Cotiviti: our differentiated technology, content and service model that underpins our clients’ ability to administer benefits and accurately pay for services for their members.”

Cotiviti’s Payment Accuracy solutions include prepay claim editing and coding validation; fraud, waste, and abuse prevention and recovery; clinical coding validation; coordination of benefits; and data mining. Prepay claim editing customers also have access to Cotiviti’s industry-leading cross-payer analytics and benchmarks, delivering claim and provider insights to empower health plans to make more informed payment policy decisions based on what’s happening across the entire market.

The Everest Group report offering an overview of Cotiviti’s payment integrity solutions is available on Cotiviti’s website for health plan professionals to download and read.

About Cotiviti

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. 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 consumer engagement programs. The company also supports the retail industry with data management and recovery audit services that improve business outcomes. For more information, visit www.cotiviti.com.

Disclaimer

Licensed extracts taken from Everest Group’s PEAK Matrix^® Reports, may be used by licensed third parties for use in their own marketing and promotional activities and collateral. Selected extracts from Everest Group’s PEAK Matrix^® reports do not necessarily provide the full context of our research and analysis. All research and analysis conducted by Everest Group’s analysts and included in Everest Group’s PEAK Matrix^® reports is independent and no organization has paid a fee to be featured or to influence their ranking. To access the complete research and to learn more about our methodology, please visit Everest Group PEAK Matrix^® Reports.

About Everest Group

Everest Group is a leading global research firm helping business leaders make confident decisions. Everest Group's PEAK Matrix^® assessments provide the analysis and insights enterprises need to make critical selection decisions about global services providers, locations, and products and solutions within various market segments. Likewise, providers of these services, products, and solutions, look to the PEAK Matrix^® to gauge and calibrate their offerings against others in the industry or market. Find further details and in-depth content at www.everestgrp.com.

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“Cotiviti brings a comprehensive breadth of experience across payer types and addresses both pre and postpay needs through a comprehensive solution suite."