Re-think healthcare affordability and effectiveness
Fraud detection
Network management
Payment integrity
Clinical insights
Program integrity
Value-based performance
Re-think healthcare affordability and effectiveness
Saving millions at world-class insurance companies and healthcare agencies including:
State Medicaid Agency
2+ million recipients
Southeast Blue Plan
3+ million members
Midwest Blue Plan
2.9 million members
Pacific Health Plan
700K+ members
Codoxo’s Forensic AI Platform protects your plan from unforeseen risks and costs
Every year billions of dollars are lost to fraud, waste and abuse in healthcare. With millions of claims coming in it’s hard to distinguish between appropriate care, a simple coding mistake, and intentional fraud. Artificial intelligence (AI) gives you a powerful way to detect new problems and take action to control costs – before they add up to a big hit on your bottom line.
1 billion
Claims processed
by AI
$500M
Identified savings
by Codoxo
%
Reduction in false positives
%
Increase in productivity
"Codoxo's Forensic AI Platform is a game changer.
– Kurt Spear, Vice President Financial Investigations and Provider Review
AI Solutions for Healthcare
The Codoxo Healthcare Integrity Suite gives you a powerful way to detect new problems and take action to control costs with a full set of applications that help each team quickly research issues and get behavior-based context to inform and accelerate the best next step.
