Innovative AI Delivers Unified
Cost Containment Approach
Health insurance providers seek a modern, holistic approach to fraud detection, and want to improve the efficacy of cost containment operations. Artificial intelligence (AI) is being used to improve fraud, waste, abuse, and payment integrity programs for payers and deliver next-level outcomes. Speakers in this session will discuss best practices for creating an AI-driven, unified approach to cost containment, in order to improve access and transparency across the cost containment spectrum.
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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.