Increase Accuracy Without Slowing Claims
Speed and precision matter in every claim. Our analytics-driven tools give your team the edge to stop improper payments before they’re made—and recover what slips through.
Why the HCFSPlatform™ Works for You
Real-time accuracy
AIShield helps your team catch issues immediately without delaying claims.
Claims-first design
Seamlessly integrates into pre-pay and post-pay workflows with automated processes.
Automation built in
Streamline detection, auditing, and reporting with intelligent workflows that reduce manual effort.
Dynamic rule tuning
Adjust detection thresholds without re-coding to improving accuracy and reducing false positives.
Unified view of risk
Merge multiple data sources and claim types for holistic, automated detection.
Continuous improvement loop
Built-in feedback and automation enhance detection quality over time.
Improve Results Without More Effort
What You Should Focus On First:
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Deploy AIShield® to reduce false positives and focus on high-impact claims |
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Automate pre- and post-pay reviews for better control without extra staff |
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Integrate PostShield® into existing workflows for immediate impact |
Your Ideal Next Step:
Schedule a walkthrough of a real claims lifecycle using HCFS tools
Post-Pay Analytics
Artificial Intelligence
