Why Healthcare Fraud Shield is the Right Choice
We combine AI-driven technology with 13 years of expertise to deliver unmatched FWAE detection, compliance, and cost savings—making payment integrity smarter and more efficient.
Built by PI & SIU Experts, for PI & SIU Experts
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Built and supported by PI/SIU professionals who understand the complexities of FWAE in healthcare |
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Designed by experts who have real-world experience in PI/SIU roles, ensuring practical, effective solutions |
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Intuitive workflows and tools tailored for investigators, streamlining case development and resolution |
7/10
National Payers Choose HCFS
When choosing a payment integrity partner, the trust of industry leaders speaks volumes
Leading payers rely on the HCFSPlatform to strengthen payment integrity, detect and prevent FWAE and drive significant cost savings. This level of trust from top healthcare organizations highlights our proven effectiveness, industry expertise and ability to adapt to evolving fraud schemes.
Clear, Committed, & Customer-Focused
We set the bar for exceptional customer service with clear communication, tailored solutions and dedicated support. Clients consistently praise us for our responsiveness, ability to customize the platform to their needs and commitment to maximizing efficiency and recoveries. Whether assisting with training, system modifications, or compliance, we remain a trusted partner in FWAE detection and prevention.
96%
Customer Service Satisfaction Rating
2K+
Industry Alerts Knowledge Base
Intelligent Alerts = Smarter Detection
Our alerts library is a powerful, ever-evolving system designed to detect and prevent fraud, waste, and abuse with unmatched accuracy. It combines AI-driven analytics with a proprietary data fusion library to uncover hidden patterns and emerging FWAE schemes. With customizable, real-time alerts and an extensive set of predefined rules, payers can quickly identify risks, streamline investigations and maximize cost savings.
Powerful Insights, Proven Protection
We leverage an extensive network of public records data sources, providing you with comprehensive, real-time insights to identify and prevent FWAE. By tapping into a vast network of reliable, up-to-date information, we ensure that your investigations are built on the most accurate and expansive data available.
80+
Sources of Public Records Data
90M+
Member Lives
Unlock the Power of Shared Analytics
Over 90 million members are protected by health plans that have opted in to our Shared Analytics program! This powerful tool allows teams to collaborate effortlessly by securely sharing data and insights across departments. By aggregating information from multiple sources, our platform provides real-time, actionable intelligence that helps you identify fraud risks faster and more accurately.