Our customer contact center is currently experiencing high call volumes. We thank you for your patience.
High call volume
Our customer contact center is currently experiencing high call volumes. We thank you for your patience.
As claims and billing systems become increasingly complex, the chance for coding and billing errors and fraudulent charges increases as well. In response, we’ve evolved our payment integrity strategy to add an enhanced claims analysis for self-funded clients.
The strategy now includes a two-tier system comprised of:
For self-funded clients, enhanced claims analysis means more protection against wrongful charges—both accidental and intentional. Other Blues plans that have used Cotiviti’s services have reported an additional savings of 1-2% from their annual claims spend.
Effective dates: Out-of-state claims will include enhanced analysis beginning in April, which will be reflected in May billing. In-state claims will be incorporated later in the year.
If you're a self-funded client with BCBSND coverage, please contact your account executive with any questions.