AI Solutions for Healthcare

SIU Leaders Speak: Roadblocks to
Productive and Effective Case Management
& FWA Operations

SIU Leaders Speak: Roadblocks to Productive and Effective Case Management & FWA Operations

Healthcare payer SIUs are faced with increasing challenges when it comes to accurately, efficiently, and effectively managing fraud. Legacy systems on the market today often fall short of expectations, needs, and demands to meet hit rates, productivity, inventory management, compliance, and reporting requirements.

Without the right tools in place, SIUs face real challenges in moving the needle on cost containment.

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.