The HCFSPlatform® for an End-to-End

Payment Integrity Solution

Healthcare Fraud Shield aims to transform how healthcare plans address Fraud, Waste, Abuse, and Error by streamlining lead detection and review processes. Recognizing that health plans often lack the resources to effectively mine data and evaluate FWAE leads, HCFS developed FWA360Leads®—an AI-powered solution that automates the identification and prioritization of high-value leads. Combining advanced Artificial Intelligence, Natural Language Generation, and a dynamic feedback loop, FWA360Leads® optimizes workflows, enhances decision-making, and maximizes ROI by continuously learning and adapting to user and organizational preferences.

Product Features

NEW user experience designed to automate finding highest value leads for your team to review

Combines power of AI and our extensive library of alerts in summary form using Natural Language Generation

Continuously learns from user feedback to recalibrate feed based on AI

Reduce time for teams to identify and review potential FWAE leads

Download the Full FWA360Leads® Product Feature List