AI Solutions for Healthcare

Fraud Schemes in a Telehealth Era:
What Healthcare Payers Need to Know

Telehealth Whitepaper

As a result of Covid-19, virtual healthcare has become the new norm, exposing opportunities for fraud, waste and abuse. Codoxo takes a closer look into telehealth claims across different timeframes and specialties to illuminate where suspicious and non-compliant Covid-19 cases appear to exist.

In this comprehensive white paper, we aim to drive awareness about emerging schemes and ways to mitigate fraudulent erroneous or wasteful cases.

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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

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

SERVICES

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