AI Solutions for Healthcare

Unified Cost Containment Platform Datasheet

Healthcare Integrity Suite datasheet

Codoxo’s Unified Cost Containment Platform empowers all teams within a health plan or healthcare agency to optimize savings across the cost containment spectrum, from pre- and post-payment, to fraud. Through our academic research-based AI and machine learning capabilities, predictive analytics, and advanced proprietary detection algorithm, your teams are able to achieve holistic payment integrity for maximum outcomes.

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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.