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Cognisight Initial Validation Audits

The Initial Validation Audit (IVA) is a two-phase, regulatory audit required by the US Department of Health and Human Services (HHS). Issuers operating on the Health Insurance Exchange with more than $15 million in total premiums as of the April 30, 2018 EDGE data submission and are offering coverage in Benefit Year 2018, are required to participate in the IVA and must partner with a qualified IVA vendor to conduct the audit. Cognisight was one of the first organizations to offer IVA services and served dozens of Issuers across the country during the 2015 and 2016 dates of service pilot year audits.

Our complete, operationalized solution leverages our proprietary IVAtion™ software solution and includes:

  • Unparalleled Account Management
  • Issuer Documentation Support
  • Demographic and Enrollment Validation
  • Health Status Data Validation
  • Creation of Workpapers

Cognisight’s IVA service is available for Issuers on and off the Health Insurance Exchange.