Drive Real ROI with Scalable Fraud Prevention

If you’re leading strategy, cost control, or innovation, you need results that move fast and scale even faster. Healthcare Fraud Shield delivers powerful, cloud-based tools that reduce loss, streamline operations, and prove value quickly.

Why the HCFSPlatform™ Works for You

Enterprise-wide visibility

Get a top-down view of fraud risks and cost drivers across all departments.

Fast-track ROI

Our tools deliver savings in weeks, not quarters.

Strategic alignment

Supports board-level initiatives like digital transformation and value-based care.

Modular platform architecture

Scale solutions across lines of business without custom builds.

AI that learns from your data

Proprietary models adapt to your population and provider behaviors.

Proven partner to leading payers

Trusted by national and regional health plans with measurable ROI.

Minimize Risk & Maximize Return Without Adding Complexity

What You Should Focus On First:

Prioritize rapid-deployment tools that demonstrate short-term ROI
Use AIShield® and PostShield® to immediately reduce unnecessary spend
Implement executive-level dashboards to monitor enterprise-wide fraud risk

Your Ideal Next Step:

Request a custom savings analysis based on your current claims volume

Post-Pay Analytics

Artificial Intelligence

Diagnosis Validation

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