Cotivti is ugly but appealing for investors.

Cotiviti Market Opportunity

Healthcare claims processing is soul-crushingly complex. Recently the number of "codes" used went up 5x to over 68,000. At the same time there is tremendous cost pressure so every insurer wants to ensure claims are accurate and enforce payment policies.

Cotiviti (NYSE:COTV) is one of the dominant companies in medical billing and payments space. They have tweaked their positioning to be more data-savvy and call themselves an "analytics-driven payment accuracy" company. The company serves the majority of the top insurance companies and processes claims for over 190 million people.

The company had

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