Alternatives to Cotiviti

10 alternatives

  1. 1Healthcare Revenue Integrity, Claims Management Software

    Trizetto

    Revenue Cycle Management Software

    Healthcare revenue cycle management platform for providers and payers with claims processing, payment management, and data analytics.

    Healthcare Revenue IntegrityClaims Management Software
  2. 2Healthcare Revenue Integrity

    Lyric

    Healthcare Revenue Integrity

    Healthcare AI platform for payment integrity and claims intelligence for payers.

    Real time claims evaluation and editingMulti signal claims reconciliationClinical and reimbursement policy development
  3. 3Healthcare Revenue Integrity, Claims Management Software

    HealthEdge

    Claims Management Software

    Healthcare payer software platform for core administration, care management, and payment integrity.

    Cloud native claims processing and auto adjudicationAI powered agentic automationIntegrated ecosystem and interoperability
  4. 4Healthcare Revenue Integrity

    Machinify

    Healthcare Revenue Integrity

    AI-based payer automation platform (Cognizant) covering prior authorization, claims integrity, and payment accuracy.

    Claims audit with medical record reviewReal time claims editing and repricing
  5. 5Healthcare Revenue Integrity, Claims Management Software

    ZirMed

    Revenue Cycle Management Software

    Healthcare revenue cycle platform now part of Waystar providing claims management and payment analytics.

    Eligibility verification and coverage detectionPrior authorization automationPatient estimation and price transparency
  6. 6Healthcare Revenue Integrity

    Office Ally

    Healthcare Revenue Integrity

    Free clearinghouse and practice management tools for healthcare providers with electronic claim submission, eligibility checking, and EHR.

    Free planPer seat

    Price$44.95+ / provider / month

  7. 7Healthcare Revenue Integrity, Claims Management Software

    Zelis

    Claims Management Software

    Healthcare payments platform providing cost savings, network solutions, and payment optimization.

    Electronic payment processing and settlementClaims optimization and pricingMember communication and engagement
  8. 8Healthcare Revenue Integrity

    Inferscience

    Healthcare Revenue Integrity

    HCC risk adjustment platform that integrates with EHRs to surface coding opportunities at the point of care.

    Healthcare ITAI Coding Assistants
  9. 9Healthcare Revenue Integrity

    Craneware

    Healthcare Revenue Integrity

    Healthcare cost, quality, and pricing software helping US hospitals manage charge capture and pricing transparency.

    Healthcare Data AnalyticsRevenue Cycle Management Software
  10. 10Healthcare Revenue Integrity

    Taxo

    Medical Coding Software

    AI platform for medical coding and revenue cycle automation for healthcare providers

    HIPAASOC 2AI for Healthcare OperationsPatient Intake