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Our customers drive savings across payment integrity, SIU, network and clinical teams. We help some of the largest plans and agencies in the country identify opportunities to control costs.
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Case Studies

Blues Health Plan

Leading healthcare payer educates providers and avoids pre-claim costs with AI-based provider portal

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Pacific Blue Health Plan

Pacific Blues health plan uses Fraud Scope to identify millions in overpayments from a single scheme

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Midwestern Blue Health Plan

BlueCross BlueShield health plan reduces medical and dental fraud, waste, and abuse.

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State Medicaid Agency

AI helped Program Integrity Unit at State Medicaid Agency realize a 1,500% ROI

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Harvard Pilgrim Health Care

Harvard Pilgrim Health Care embraces AI from Codoxo to detect FWA issues

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National Health Plan

Codoxo validates Fraud Scope catches 97% of post-payment exposure

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“Just being able to identify the behavior that is outside the norm is massive for us. Codoxo’s AI detection engine helps us ensure new fraud schemes don’t sneak up on us.”

Brian Robinson, Director of Special Investigations Units
HARVARD PILGRIM HEALTH CARE