AI Solutions for Healthcare

Payment Scope Product Datasheet

Payment Scope DS

Payment Scope proactively flags problematic claims and helps analysts save costs pre-payment with unique claim insights, easy-to-use claim workflow, and automated provider outreach.

This product datasheet explains how Payment Scope works and how it can help your payment integrity team identify claim accuracy issues before claims are paid with our patented Forensic AI Platform. 

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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.