Resources

Protect your limited healthcare dollars with the most powerful, effective AI in the industry.

Case Studies

Blues Health Plan

Leading healthcare payer educates providers and avoids pre-claim costs with AI-based provider portal.

Pacific Blue Health Plan

Pacific Blues health plan uses Fraud Scope to identify millions in overpayments from a single scheme.

Midwestern Blue Health Plan

BlueCross BlueShield health plan reduces medical and dental fraud, waste, and abuse.

State Medicaid Agency

AI helped Program Integrity Unit at State Medicaid Agency realize a 1,500% ROI.

Non-profit Health Plan

A Non-profit Health Plan embraces AI from Codoxo to detect FWA issues.

National Health Plan

Codoxo validates Fraud Scope catches 97% of post-payment exposure.

Datasheets

Data Mining Services

Download and share an overview of how Codoxo uncovers more overpayments with AI-driven data mining services.

Generative AI

Download and share an overview of how Codoxo helps to future-proof payment integrity with Generative AI.

ClaimPilot

Download and share an overview of everything the ClaimPilot generative AI platform can do for your organization.

resources datasheet

United Cost Containment Platform

Download and share an overview of everything the Unified Cost Containment Platform can do for your organization.

Fraud Scope

Download and share an overview of everything the Fraud Scope product can do for your organization.

Provider Scope

Download and share an overview of everything the Provider Scope product can do for your organization.

Payment Scope

Download and share an overview of everything the Payment Scope product can do for your organization.

Audit Scope

Download and share an overview of everything the Audit Scope product can do for your organization.

Virtual SIU Services

Download and share an overview of Codoxo’s Virtual SIU Services designed to help health plans and state agencies scale operations and meeting FWA compliance.

Infographics

The Future of Healthcare Payment Integrity: Why AI-Driven Early Intervention Matters Now

SIU Experts Share Pressing Challenges & Successes for Combating Fraud, Waste & Abuse

AI-based Provider Education Empowers Healthcare Payers to Shift Left on the Payment Cycle

11 Emerging Healthcare Fraud Schemes to Watch out for in 2023

5 Trends and Predictions for Healthcare Cost Containment in 2023

SIU Leaders Speak: Roadblocks to Productive and Effective Case Management & FWA Operations

Under the Hood of Healthcare Payer SIU

Top SIU & Payment Integrity Priorities & Challenges

Forensic AI Alerts: See What the Future of Cost Containment Looks Like Tomorrow…Today

AI-driven Fraud, Waste & Abuse Delivers Return

The Rise of Virtual Healthcare

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6 Trends & Predictions for Healthcare Cost Containment in 2022

Faster Time to Value: 4 Tips to Replacing or Adopting Payment Integrity Systems

Top Fraud, Waste & Abuse Cases in Healthcare

AI-driven Fraud, Waste & Abuse Delivers Return

Payment Integrity Market Trends: What You Need To Know

Video and Podcasts

Codoxo Launches Point Zero Payment Integrity

From Recovery to Prevention: The Executive Blueprint for AI-Driven Payment Integrity

May 2025

Clinical ClaimPilot: Streamlining Claim Validation with AI

Clinical ClaimPilot: Revolutionize Clinical Claim Audits

Healthcare NOW Radio

January 2024

Codoxo Customer Conference 2023 Overview

NCHAA Webinar: Revolutionizing Healthcare Payment Integrity with Generative AI as Your Co-Pilot

November 2023

Codoxo 2022 Reflection

Virtual Services

Codoxo’s Virtual Outsourced Services help health plans, agencies and PBMs offload compliance and scale operations.

Audit Scope

Audit Scope provides seamless integration of detection, selection, audit creation, tracking and reporting of audits.

Provider Scope

Provider Scope compares each providers’ claims and coding practices to improve claim integrity and bring down pre-claim costs. 

Codoxo Customer Conference 2022 Overview

November 2022

Atlanta Business Radio

August 2022

Healthcare Executive Round Table

March 2022

Codoxo's Momentum Building Year

February 2022

NCHAA Webinar: Detecting the Undetected

January 2022

Codoxo

Leading a Movement to Contain Healthcare Costs and Disrupt the Status Quo. 

FNO: InsureTech Podcast

June 2021

Highmark NHCAA Session

November 2020

Whitepapers and Reports

Forensic AI Alerts eBook: 2023 Fraud, Waste, & Abuse Trends to Guide 2024 Healthcare Cost Containment Plans

Generative AI for Payment Integrity: Harnessing AI Innovation to Future-Proof Healthcare Payments

The Quest for Modernized Healthcare Payment Integrity: A Case for AI-Driven Provider Education

5 Trends & Predictions for Healthcare Cost Containment in 2023

Forensic AI Alerts eBook: 2022 FWA Trends to Inform 2023 Cost Containment Strategies

Codoxo’s Forensic AI Platform Named Fierce Healthcare aInnovation Award Winner in the “Data Analytics/Business Intelligence” Category

Codoxo Named “Highflier” in CB Insights’ ESP Matrix for Fraud, Waste & Abuse

KLAS Research Emerging Technology Spotlight Report 2022

eBook: Re-envisioning Cost Containment in 2022 and Beyond

Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know

Aite Matrix Payment Integrity in Healthcare Report

Using AI to Power Successful Unified Cost Containment Programs

COVID-19 FWA Schemes Report

30 page special report on emerging COVID-19 related FWA schemes