Under the Hood of Healthcare Payer SIU

Healthcare payers are often faced with limited resources, and silos across data, operations and systems and continuously seek ways to improve efficiency, compliance, and lead performance.

Knowing where your operations may need a lift is critical to containing costs and impacting the bottom line of your health plan.

Take your SIU performance to the next level with proven AI-based cost containment solutions.

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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.