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AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

Oct 17, 2025 | FWA Prevention

In today’s healthcare fraud, waste, and abuse (FWA) landscape, Special Investigations Units face mounting pressure to do more with less—identifying sophisticated fraud schemes across exploding claims volumes while managing limited resources. At a recent industry...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

AI-Based Fraud Detection: Success Stories from Fraud Scope Customers 

Dec 3, 2024 | FWA Prevention

Every year, billions of dollars are lost to fraud, waste, and abuse (FWA) within the healthcare industry. At Codoxo, we see a better way to tackle these issues by leveraging innovative AI technologies and collaborating closely with our customers. This year’s...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

Generative AI: Critical for Tackling Complex In-patient Claims Audits

Feb 2, 2024 | FWA Prevention, Payment Integrity

The advanced technology can transform the healthcare industry – including delivering significant savings opportunities to healthcare payers. Generative AI, with its sophisticated large language models (LLM) and ability to generate content and predict patterns, is...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

Codoxo Named Only “Highflier” in Recent FWA Report – Underscores Growing Trust in Innovative & Proprietary AI Solutions

Dec 15, 2022 | FWA Prevention

At Codoxo, we strive to be innovators on the cutting edge of the fight against healthcare fraud, waste, and abuse (FWA), so you can imagine our excitement when we learned about new recognition by CB Insights, a New York-based market intelligence firm, who named Codoxo...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

Customers Shed Light on their AI-Driven Fraud, Waste, and Abuse Success & Outcomes

Nov 10, 2022 | FWA Prevention

During last month’s Codoxo Customer Conference, clients deepened their understanding of Codoxo’s full breadth of AI-based cost-containment solutions designed to help make healthcare more affordable and effective. There was an extra emphasis, however, placed on...
AI-Powered Fraud Detection in Action: How Leading SIUs Are Transforming Healthcare Payment Integrity

Codoxo Validates Fraud Scope Catches 97%of Post-payment Exposure

Apr 27, 2022 | FWA Prevention

When one of the Nation’s Largest Health Plans began noticing large dollar amounts for paid exposure and a significant number of high-risk scores on the Codoxo Fraud Scope dashboard, they reached out to us for further insight. The Codoxo team conducted an internal...
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