QueryShield

Healthcare Fraud Shield has developed a powerful ad-hoc querying tool that works seamlessly throughout FWAShield. QueryShield enables a user to run real-time queries and complex pattern reports from data loaded into PreShield, PostShield and/or CaseShield.

  • Customized reports to meet the reporting needs of state and federal regulatory agencies and industry associations
  • Template reports that may be reused and are accessible by a single user or multiple users
  • Aggregated summary reports
  • Trending analysis reports
  • Cross-claim querying capability
  • Fraud alert impact analysis
  • Instantaneous results that may be uploaded to CaseShield and/or exported
  • Stored Point-in-Time results
  • User-friendly interface

View Full QueryShield Product Sheet

Additional HCFS Products and Services

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 AI-driven anomaly detection platform that identifies risk vectors from emerging schemes and behaviors.

An ad-hoc tool to run real-time queries and complex pattern reports from loaded data.

Expert analysis of claims, development of cases, and detection of systemic weaknesses.