COTIVITI GOV SERVICES, LLC

Cotiviti Gov Services, LLC specializes in fraud, waste, and abuse detection and recovery services for federal health programs, with deep expertise in recovery auditing, claims verification, and program integrity analytics. The company delivers end-to-end financial integrity solutions, including automated data validation, payment error identification, and compliance monitoring for Medicare, Medicaid, and other public health initiatives. Technical capabilities encompass advanced data reconciliation, predictive analytics, and integrated software platforms designed to support CMS and other health agency objectives. Their work in healthcare coverage verification and unified program integrity contracting demonstrates a strong command of regulatory frameworks, claims adjudication systems, and audit methodologies aligned with federal standards. The contractor maintains a sustained relationship with the Department of Health and Human Services, primarily supporting the Centers for Medicare & Medicaid Services through recovery audit services, program integrity enforcement, and automated data verification systems. They also provide accounting and financial oversight services to the Department of Veterans Affairs, focusing on community care payment accuracy and audit compliance. Their consistent engagement with HHS underscores a trusted role in safeguarding the financial integrity of national health programs. Industry focus centers on insurance-related activities, collection agencies, and specialized accounting services, all applied within the federal healthcare ecosystem. Cotiviti Gov Services positions itself as a mission-critical partner for agencies requiring precision in claims auditing, payment recovery, and compliance automation, with a technical emphasis on data-driven integrity solutions rather than general financial services. The entity is structured as a limited liability company headquartered in South Jordan, Utah, with no federal certifications on record. Its geographic presence is centered in the western U.S., and it operates as a specialized contractor serving high-compliance federal health programs without broad-scale certification status.