AI That Evolves with the Threat
AIShield is an advanced artificial intelligence module that detects and keeps pace with the constantly evolving FWAE schemes that are putting your payment integrity at risk.
Next-Gen Detection for Next-Level Fraud
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Detect and adapt to new fraud, waste, and abuse patterns. |
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Enhance payment integrity by identifying high-risk providers and claims. |
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Integrate seamlessly with existing HCFS Platform® tools for comprehensive protection. |
Discover the Power Behind Our AI Tools
Turn Complex Data into Clear Decisions
Detects Emerging FWAE Patterns
Uses AI trained on real-world fraud schemes to identify evolving threats before traditional rules catch them.
Natural Language Summaries
Converts complex provider behaviors into clear, human-readable explanations for fast decision-making.
Visual Risk Insights
Interactive dashboards help you quickly pinpoint high-risk providers and suspicious activity.
Expert-Guided Design
Built in collaboration with FWAE experts to support real investigative workflows.
Seamless HCFSPlatform Integration
Fully integrated with the HCFS suite—no extra tools, no added friction.
Scalable AI-Powered Detection
Processes large volumes of claims with consistent accuracy and minimal manual effort.
Download the Complete AIShield® Product Overview
Stay Ahead of FWAE with Adaptive Intelligence.
Decide with confidence.
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