CASE STUDY

BlueCross BlueShield Health Plan

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

A leading midwestern Blues healthcare payer aimed to curtail its own significant losses by improving its ability to detect and protect against outlier billing behavior, such as claims billed under medical insurance for non-traumatic dental services. Without the right technology, data, or clinical staff to catch this behavior early, the payer’s budget and bottom line was taking a big hit.

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