Expose Rx Fraud Before It Multiplies.
RxShield identifies outlier prescribing patterns, high-risk pharmacies and suspicious drug combinations empowering you to stop FWAE in pharmacy claims fast.
Smarter Pharmacy Oversight Starts Here
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No more post-payment clawbacks |
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Providers get faster, clearer feedback |
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Real-time KPIs give you instant visibility into claims risk |
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Claims integrity is built into your workflow |
Discover the Power Behind Our AI Tools
When prescriptions don’t add up, RxShield does the math.
Detects Member Abuse
Flags suspicious refill patterns and drug-seeking behavior.
Identifies Risky Prescribers
Spots providers prescribing outside standard of care.
Tracks Emerging Schemes
Continuously updated with new fraud rules and trends.
Custom Claim Analytics
Combines pharmacy and medical data for deeper insights.
Industry Trend Reports
Quarterly updates on top member, pharmacy and prescriber outliers.
Cross-Claim Detection
Links medical and pharmacy claims to expose hidden risk.
Download the Complete RxShield® Product Overview
Your first line of defense against pharmacy fraud.
Decide with confidence.
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