An integrated fraud, waste, and abuse solution that utilizes unique and proprietary data sources to maximize Return on Investment (ROI) and achieve superior results.
A pre-payment solution to reduce dollars lost from payment of ineligible claims.
A post-payment solution to monitor claims and suspicious activities.
A pharmacy analytics solution to identify improperly billed prescription drugs.
An ad-hoc tool to run real-time queries and complex pattern reports from loaded data.
A case management solution to automate reporting, tracking, and communications.
Expert analysis of claims, development of cases, and detection of systemic weaknesses.
An AI-driven anomaly detection platform that identifies risk vectors from emerging schemes and behaviors.