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PreShield
Near Real-Time Pre-Payment Fraud Detection System
PostShield
Monitors Claims & Suspicious Activities Through Advanced Post-Payment Detection
RxShield
Powerful Analytics for Pharmacy & Medical Fraud, Waste, Abuse & Error
QueryShield
An Advanced AD-Hoc Querying Tool Working in Conjunction with PreShield, PostShield, RxShield and CaseShield
AIShield
Powerful Analytics for Anomaly Detection in Fraud, Waste, and Abuse
CaseShield
Reporting, Tracking, and Communication Case Management
FWA360Leads
Automated Lead Generation Using Machine Learning from User Feedback
SharedAnalytics
The industry leading database of analytics to detect fraud, waste, abuse, and error quickly and effectively
RiskAdjustment
AI analyzes diagnosis patterns to flag unsupported codes and improve risk score accuracy
AuditSVRS
generate statistically valid random samples, improve audit defensibility, reduce sampling bias, and accelerate audit readiness
AuditMRR
Streamlines medical record request and retrieval workflows
RecordPlus
Transforms medical records into structured, review-ready insights using AI and NLG
HCFSServices
Scalable Audit & SIU Support
HCFS Audit Suite
Connects statistically valid sampling, medical record retrieval, and AI-powered review into one streamlined healthcare audit workflow