AI Solutions for Healthcare

Seeing tomorrow, today.

Using AI technology to re-envision healthcare affordability and effectiveness.

The U.S. spends $3.8 trillion each year on healthcare, but a significant
portion—up to $380 billion—is lost to fraud, waste and abuse.

At Codoxo, we know there’s a better way.

Codoxo was founded on the vision that healthcare costs can be contained, and
healthcare dollars protected. That unorthodox vision was followed by a
passion to create a never-seen-before AI-based cost containment platform
and company to help create a better future for healthcare.

A culture of collaboration

A culture of collaboration

Across the company, we are driven to delight our customers and ensure their success. It is our goal to create collaborative long-term partnerships where we can constantly improve, solve and return meaningful savings.

– J.R. Trevino, Manager, Special Investigations Unit
DRISCOLL HEALTH PLAN

– J.R. Trevino, Manager,
Special Investigations Unit
DRISCOLL HEALTH PLAN

MUSHEER AHMED
PHD

      CODOXO
CEO, FOUNDER

Passion is at the heart of our innovation.

Codoxo’s patented technology was developed as part of Musheer Ahmed’s Ph.D. dissertation at the Georgia Institute of Technology. Musheer’s vision was to build technology that could have the greatest positive impact on healthcare cost containment, which led him to co-found Codoxo in 2017.

Today, Codoxo represents Musheer’s passion for innovation and deep academic rigor. Its founder and its people are positively disrupting healthcare and creating a movement with long-lasting impact on cost containment.

MUSHEER AHMED, PHD

      CODOXO CEO, FOUNDER

Passion is at the heart of our innovation.

Codoxo’s patented technology was developed as part of Musheer Ahmed’s Ph.D. dissertation at the Georgia Institute of Technology. Musheer’s vision was to build technology that could have the greatest positive impact on healthcare cost containment, which led him to co-found Codoxo in 2017.

Today, Codoxo represents Musheer’s passion for innovation and deep academic rigor. Its founder and its people are positively disrupting healthcare and creating a movement with long-lasting impact on cost containment.

The Codoxo Mission

Our mission is to help deliver cost containment to our clients by eliminating the significant impact of fraud, waste and abuse and by ensuring payment integrity and seek to apply those savings to make our healthcare system more affordable and effective.

We deliver upon our mission by establishing collaborative partnerships with our clients, prioritizing continuous research and innovation, and leveraging our leading AI technology with expert analysis grounded in academic rigor.

Careers

The culture of a company matters. At Codoxo, we attract people who want to make a difference. Experts who value innovation. Collaboration. The positive effect of disruption. Across the company, we are driven to delight our customers and ensure their success.

1 billion

CLAIMS

PROCESSED

$500M

IDENTIFIED

SAVINGS

%

REDUCTION IN

FALSE POSITIVES

%

INCREASE IN

PRODUCTIVITY

We invest heavily in our people and our technology to help us push the boundaries of what’s possible.
We have helped achieve savings at world-class payers and healthcare agencies including:

Highmark

6+ million members

State Medicaid Agency

1.5+ million recipients

Southeast Health Plan

3.5+ million members

Pacific Health Plan

700k+ members

Mid-State Health Plan

3.5+ million members

Midwest Plan

2.5+ million members

We invest heavily in our people and our technology to help us push the boundaries of what’s possible.

We have helped achieve savings at world-class payers and healthcare agencies including:

Highmark

6+ million members

State Medicaid Agency

1.5+ million recipients

Southeast Health Plan

3.5+ million members

Pacific Health Plan

700k+ members

Mid-State Health Plan

3.5+ million members

Midwest Plan

2.5+ million 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 >