Trusted By Industry Leading Health Insurance Companies
An End-to-End Solution with Technology and Healthcare Expertise Built In
How do you combat the billions of dollars lost each year to healthcare claims fraud, waste, abuse, and error? HCFS has a simple philosophy — superior service coupled with advanced analytics (with both AI powered and the most extensive FWAE library of alerts), providing integrative technology solutions for Payment Integrity, FWAE, and Cost Containment with the power and flexibility to meet every healthcare insurance payer where they are.
Our Team
With over 20 years of experience developing and designing expert-based claims fraud, waste, abuse, and error detection systems, our in-house SIU team of accredited investigators and healthcare and software subject matter experts leverage leading-edge analytics, AI, and proprietary and external data for the most accurate claims analysis available.