AI Solutions for Healthcare

COMPANY OVERVIEW

Making healthcare more affordable and effective

The U.S. spends more on healthcare than any other country in the world, but not all of the $3.8 trillion goes to real patient care. A significant portion, up to 10% or $380 billion, is lost to fraud, waste and abuse.

Codoxo’s patented technology was developed as part of Musheer Ahmed’s Ph.D. dissertation at the Georgia Institute of Technology. Musheer’s aim was to build technology that could have the greatest positive impact so he focused on healthcare and co-founded Codoxo. Codoxo now has a suite of AI-powered solutions to help healthcare companies and agencies identify and act quickly to control costs. A report by the JASON advisory group, the prestigious scientific advisory panel to the U.S. government, reinforced that Musheer’s doctoral research tackled some of the biggest challenges within the emerging health data infrastructure in the United States.

Codoxo is on a mission to make healthcare more affordable and effective for everyone.

Contact us

Customer Support

support@codoxo.com
(470) 223-3591

Sales & partnerships

sales@codoxo.com
1-470-223-3592

Press Inquiries

Careers at Codoxo

1 billion

Claims processed
by AI

$500M

Identified savings
by Codoxo

%

Reduction in false positives

%

Increase in productivity

"Codoxo's Forensic AI Platform is a game changer.
AI is helping us identify, prevent, and stop potentially fraudulent activities earlier than ever.”
Highmark

– Kurt Spear, Vice President Financial Investigations and Provider Review

Saving millions at world-class insurance companies and healthcare agencies including:

State Medicaid Agency

2+ million recipients

Southeast Plan

3+ million members

Midwest Plan

2.9 million members

Pacific Health Plan

700K+ members

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

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.

Fraudscope is now Codoxo. LEARN MORE >