What it does
Medical record retrieval, aggregation, indexing, and storage for health plans; supports Medicare/Medicaid/commercial risk adjustment, RADV audits, HEDIS and quality initiatives, DRG audits, life insurance underwriting, litigation discovery. Also published: Risk adjustment (retrieval, coding, suspect analytics, encounter management), HEDIS/Quality & Stars medical record abstraction, claims medical review (payment accuracy, fraud/waste/abuse detection), interoperability/data exchange. Everything above is drawn from the 13 public sources cited at the foot of this page. Fields the company does not publish are marked as unpublished below rather than estimated.
Key facts
| Segment | Medical Record Retrieval / ROI, Insurance Underwriting & Payer Chart Review |
| Website | |
| HQ | Not published (site references "Our Headquarters" without disclosing address in content fetched) |
| Ownership | Not published (privately/PE-backed historically; not confirmed via primary source in this session) |
| Certifications | "Associations and Certifications" page referenced but specific credentials not extracted |
| Founded | Founded 1979 |
| Headcount | 5,001-10,000 employees |
| Not published | PricingTurnaround |
Medrecords AI vs Cotiviti at a glance
Same eight rubric rows, side by side. Vendor cells repeat what Cotiviti publishes; a row it has not published stays that way. Medrecords AI cells are our own published terms.
| Rubric row | Medrecords AI | Cotiviti |
| Processing model | AI drafts and cites; you review and sign. Every line cites its source page. | AI + NLP + Human Expert QA |
| Human QA | Yours, not ours. Output is editable and every claim links to the page it came from. | Included (expert QA teams review NLP first-pass coding) |
| Typical turnaround | Minutes to hours per file | Not published |
| Pricing model | Pay per page, no subscription (Self-Service); annual licence for AI Enablement and On-Prem | Contracted/volume-based (hybrid license + managed services) |
| Indicative cost | from 10¢ to as low as 5¢ a page, duplicates free | Not published |
| Export formats | DOCX, PDF and HTML, hyperlinked back to every source page; API or SFTP delivery | Not published |
| Best for | Law firms, IME clinics, legal nurse consultants and small TPAs | Health plans - HEDIS, Star Ratings, risk adjustment review |
| Customer satisfaction | We publish no rating of our own | No public reviews found |
Longer versions: Medrecords AI vs Cotiviti, head to head · Cotiviti alternatives compared.
The boundary on our side does not move: the software drafts and cites; you review, you revise, you sign.
Evaluation criteria
Profile notes
What to confirm before you sign
Cotiviti publishes 5 of the 8 fields in the Content Hub rubric. Across all 270 vendors profiled in the Content Hub, the median is 5 of 8. Of the three it leaves unpublished, these two matter most.
- What does a real 1,000-page file cost, all in?Ask for a worked example rather than a rate card. Duplicate pages, rush fees and monthly minimums are where the quoted rate and the final invoice separate.
- What is the turnaround on a 1,000-page file, and is that a median or a best case?Ask what the clock starts from — receipt, or the point the file clears intake — and what the same number looks like in your busiest week.
The other seven questions, and what all 270 profiled vendors do and do not publish, are in the evaluation guide.
Sources
- Source
- Cotiviti website
- Cotiviti Second Level Review
- Cotiviti Risk Adjustment Solutions
- Cotiviti Medical Record Retrieval
- ForeSee Medical: Risk Adjustment Software | Top Platforms & Vendors for 2026
- Keebler Health: Top 5 AI Platforms for Risk Adjustment
- Arcadia: 20 Risk Adjustment Software Vendors to Consider in 2026
- FinancialContent / GlobePRwire: The Best Risk Adjustment Companies Health Plans Should Know in 2026
- TechBullion: 7 Best Risk Adjustment Software Platforms for 2026
- Pelica Health: Reveleer Alternatives and Competitors in 2026
- Forbes: Cotiviti
- LinkedIn: Cotiviti
