News
Notification of Review for Coordination of Benefits by Cotiviti
Date: 09/30/24
Thank you for your continued partnership with Ambetter from Meridian. As you know, we are committed to continuously evaluating and improving overall Payment Integrity solutions as required by State and Federal governing entities. We are writing today to inform you of an additional review that will go into place as of *11/1/2023*.
| Description of Changes | Lines of Business |
|---|---|
| Ambetter claims will be reviewed for coordination of benefits by Cotiviti. Providers will begin seeing correspondence from Cotiviti when these claims are identified as being incorrectly paid for members with other primary coverage. Instructions for next steps and how to outreach for additional information will be included in the letters that Cotiviti will send to the providers. Marketplace | Marketplace |
Thank you for your continued participation and cooperation in our ongoing efforts to render quality health care to our members. We look forward to helping you provide the highest quality of care for our members.