AI Solutions for Healthcare

Highmark Podcast: AI vs. Fraud Schemes

How does AI detect billions in fraudulent medical spend? Learn how we use artificial intelligence to investigate fraud earlier and lower healthcare costs.

Featuring: Kurt Spear, Vice President, Financial Investigation and Provider Review, Highmark and Musheer Ahmed, Chief Executive Officer, FraudScope

Listen to the podcast here:–Fraud-Schemes-efpc31?sf235303595=1



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.