AI Solutions for Healthcare
July 2021 AI Alert

July 2021 AI Alert

Jul 29, 2021 | Forensic AI Alerts

Metformin: Stay Informed on High Generic Costs and FDA Recalls Metformin: Background When we talk about prescription Fraud, Waste, and Abuse (FWA), we think of emerging schemes such as topical pain/scar creams, compounds, ingredients for foot baths, high-cost wellness...
July 2021 Industry Insights

July 2021 Industry Insights

Jul 8, 2021 | Industry Insights

Creating the Right Cost Containment Toolkit: A Common Understanding and Collaboration across Technologies, Automation, and Domain Experts By Saurav Subedi, Director of Data Science, Codoxo With the rapid movement toward data-driven decision making, healthcare payers...

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Audit Scope

For everyone across the health plan and PBM

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

SERVICES

We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.