Drive Real ROI with Scalable Fraud Prevention
Leading strategy or cost control? You need fast results that scale. Healthcare Fraud Shield delivers an end-to-end solution to boost payment integrity—reducing loss, streamlining operations, and proving value with powerful, cloud-based tools.
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
See up to 20:1 ROI. Millions in savings identified within 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:
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Prioritize rapid-deployment tools that demonstrate short-term ROI |
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Use Preshield®, AIShield® and PostShield® to reduce unnecessary spend |
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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
