AI Solutions for Healthcare

Collaborate. Contain. Codoxo.

Join the movement to protect your limited healthcare dollars with the most powerful, effective AI in the industry.

1 billion

CLAIMS

PROCESSED

$500M

IDENTIFIED

SAVINGS

%

REDUCTION IN

FALSE POSITIVES

%

INCREASE IN

PRODUCTIVITY

It’s time to break the spiraling cost trends of healthcare fraud, waste and abuse. Codoxo’s Unified Cost Containment Platform works across the payment spectrum to deliver significant savings and a guaranteed 3x ROI.

Fueled by a culture of constant innovation and an incessant drive to ensure client success, our team of collaborators are here to help you disrupt the status quo. Every healthcare payer or agency is unique; we will work with you to identify and meet your specific needs and deliver next-level outcomes.

Join the movement.

Our customers drive savings across payment integrity, SIU, network and clinical teams. We help some of the largest plans and agencies in the country identify opportunities to control costs.

bluecross blueshield logo

PACIFIC BLUE HEALTH PLAN

Pacific Blues health plan uses Fraud Scope to identify millions in overpayments from a single scheme

READ CASE STUDY >

bluecross blueshield logo

MIDWESTERN BLUE PLAN

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

READ CASE STUDY >

Highmark

6+ million members

Highmark identifies millions in new active cases with AI-powered provider analysis from Codoxo

READ CASE STUDY >

Pacific Health Plan

1.5+ million recipients

AI helped Program Integrity Unit at State Medicaid Agency realize a 1,500% ROI

READ CASE STUDY >

3+ million members

Harvard Pilgrim Health Care embraces artificial intelligence from Codoxo to detect FWA issues

READ CASE STUDY >

National Health Plan

Codoxo validates Fraud Scope catches 97% of post-payment exposure

READ CASE STUDY >

Pacific Health Plan

700+ thousand members

Several departments at this plan use our AI solutions to meet their needs

Pacific Health Plan

2.5+ million members

Ensures fraud and payment integrity teams are using AI to protect the plan

Pacific Health Plan

3.5+ million members

Large plan protects public health funds by proactively identifying ways to control healthcare costs with Codoxo

Join the movement.

Our customers drive savings across payment integrity, SIU, network and clinical teams. We help some of the largest plans and agencies in the country identify opportunities to control costs.

Highmark

6+ million members

Highmark identifies millions in new active cases with AI-powered provider analysis from Codoxo

READ CASE STUDY >

Pacific Health Plan

1.5+ million recipients

AI helped Program Integrity Unit at State Medicaid Agency realize a 1,500% ROI

READ CASE STUDY >

Pacific Health Plan

3.5+ million members

Large plan protects public health funds by proactively identifying ways to control healthcare costs with Codoxo

Pacific Health Plan

700+ thousand members

Several departments at this plan use our AI solutions to meet their needs

Pacific Health Plan

2.5+ million members

Ensures fraud and payment integrity teams are using AI to protect the plan

3+ million members

Harvard Pilgrim Health Care embraces artificial intelligence from Codoxo to detect FWA issues

READ CASE STUDY >

– Brian Robinson, Director of Special Investigations Units
HARVARD PILGRIM HEALTH CARE

– Brian Robinson,
Director of Special Investigations Units
HARVARD PILGRIM HEALTH CARE