AI Solutions for Healthcare


Highmark Podcast: AI vs. Fraud Schemes

AI vs. Fraud Schemes

The healthcare treatment and payment environment during this COVID- 19 pandemic is at increased risk for fraud, waste and abuse (FWA). Regulations and treatment protocols are changing on a frequent basis creating an opportunity for those who wish to take advantage of the situation to do so. Health plans will have numerous potential new FWA vulnerabilities as a result.

This comprehensive whitepaper includes 12 areas that plans should pay specific attention to for FWA risk.

Fill out the form below to download our detailed report on how plans can protect themselves against new fraud, waste and abuse threats due to the COVID-19 pandemic.


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.