Under the Hood of Healthcare Payer SIU
Healthcare payers are often faced with limited resources, and silos across data, operations and systems and continuously seek ways to improve efficiency, compliance, and lead performance.
Knowing where your operations may need a lift is critical to containing costs and impacting the bottom line of your health plan.
Take your SIU performance to the next level with proven AI-based cost containment solutions.
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.