AI Solutions for Healthcare

Fraud Scope Product Datasheet

Fraud Scope Product Datasheet

Fraud Scope automatically detects new and emerging fraud schemes, streamlines the collection of evidence chains, and gives SIU teams integrated case workflow for the FWA investigations you choose to pursue.

This product datasheet explains how the Fraud Scope product works and how it can help your SIU team automatically and accurately detect existing and emerging fraud schemes with an AI-assisted solution.

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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


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