NCHAA Webinar:
Detecting the Undetected

NCHAA Webinar: Detecting the Undetected

The session highlights the journey one non-profit health payer took to AI-based fraud detection and how they leveraged Codoxo’s AI platform to identify and investigate previously unknown fraud schemes, including testosterone replacement therapy (TRT). Learn how this particular FWA scheme significantly impacted patient safety and created a projected risk exposure of over $2.2M over an 18-month period.

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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.