Fraud Scope Product Datasheet
Fraud Scope automatically detects new and emerging fraud schemes, streamlines the collection of evidence chains, and gives SIU teams integrated case workflow for the FWA investigations you choose to pursue.
This product datasheet explains how the Fraud Scope product works and how it can help your SIU team automatically and accurately detect existing and emerging fraud schemes with an AI-assisted solution.
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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.