AI Solutions for Healthcare
AI Alert January 2024

AI Alert January 2024

The Fight Against Fraud in HIV Prevention Medications According to the Centers for Disease Control (CDC) there is a federal initiative to end the HIV epidemic by 2030. One such effort to meet this initiative is to provide these medications to at least 50% of the...
AI Alert October 2023 

AI Alert October 2023 

Don’t Get Burned: Prepare for Superficial Radiation Therapy Claims  With each passing year, the number of individuals diagnosed with skin cancer continues to escalate at an alarming rate. According to available estimates, approximately 5.4 million individuals...
AI Alert September 2023

AI Alert September 2023

Navigating the Changing Landscape of Colonoscopy Billing: New Guidelines, Challenges, and Opportunities  As colorectal cancer rates continue to rise among younger adults, new guidelines recommend that colon cancer screenings begin at age 45 instead of the previous age...
AI Alert August 2023

AI Alert August 2023

Identifying leads related to REMS program medications  REMS and Medical Claims  The risk evaluation and mitigation strategies (REMS) program is not new to the medical field. However, debates regarding the requirements to fill these medications have been making news...
Forensic AI Alerts: Mid-Year Roundup

Forensic AI Alerts: Mid-Year Roundup

Educating Today’s Healthcare Executives with Game-Changing Knowledge Cost containment is a major priority for healthcare executives who face challenges like high prescription costs, staff shortages, and an ever-changing landscape of treatments and billing protocols....


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


We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.