AI Solutions for Healthcare

Fraudscope Achieves HITRUST CSF® Certification To Further Mitigate Risk In Third-party Privacy, Security, And Compliance


Fraudscope Achieves HITRUST CSF® Certification To Further Mitigate Risk In Third-party Privacy, Security, And Compliance

HITRUST CSF Certification validates that FraudScope is committed to meeting key regulations and protecting sensitive information. 

ATLANTA (March 30, 2020) – FraudScope, an AI-based platform that helps health plan special investigations units, payment integrity, and medical review teams investigate fraud, waste, and abuse (FWA),today announced that the FraudScope Application has earned Certified status for information security by HITRUST®.

HITRUST CSF Certified status demonstrates that the FraudScope Application has met key regulations and industry-defined requirements and is appropriately managing risk. This achievement places FraudScope in an elite group of organizations worldwide that have earned this certification. By including federal and state regulations, standards, and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.

“FraudScope’s patented AI technology helps our health plan customers achieve significantly better results and at a faster pace than traditional rules-based fraud detection products. Implementations typically only take weeks which enable customers to be live and experiencing results very quickly,” stated Musheer Ahmed, CEO of FraudScope.  “We are thrilled for the Highmark team and their astronomical fraud detection results and are pleased to have FraudScope play a role in their sophisticated payment integrity efforts.”

“Securing our infrastructure and data has always been a top priority for us. We are constantly exploring ways to exceed complex compliance and privacy requirements in the industry” said Musheer Ahmed, CEO at FraudScope “Our customers can have peace of mind when sharing their sensitive data that we follow the highest standards for protecting data and information as shown by our HITRUST CSF Certification.”

“HITRUST is helping organizations ensure that the highest standards of information protection requirements are met when sensitive data is accessed or stored,” stated Jeremy Huval, Chief Compliance Officer, HITRUST. “FraudScope can be recognized as an organization that can be counted on for keeping information safe.”

About FraudScope
FraudScope is an AI-assisted platform that accelerates the identification of fraud, waste, and abuse. Our comprehensive claims investigation platform utilizes proven and patented AI-based technology to empower investigators and analysts to derive insights and conduct full investigations of suspect claims. For additional information about FraudScope and our solutions, visit

For More Information Contact:
David Grice
(678) 296-8918