AI Solutions for Healthcare

Resources

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

Application Datasheets

Healthcare Integrity Suite

Download and share an overview of everything the Healthcare Integrity Suite 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.

Insight Scope

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

Network Scope

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

Clinical Scope

Download and share an overview of everything the Clinical 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

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

AI-driven Fraud, Waste & Abuse Delivers Return

Video and Podcasts

Codoxo

Leading a Movement to Contain Healthcare Costs and Disrupt the Status Quo.  See why our mission to contain healthcare costs has sparked a movement.  A movement that includes collaborating with payers and agencies across the U.S. to deploy AI solutions that disrupt the status quo of unsustainable healthcare costs.  That’s seeing tomorrow, today.

AHIP Webinar: Innovative AI Delivers Unified Cost Containment Approach

June 2021

Speakers in this session will discuss best practices for creating an AI-driven, unified approach to cost containment

AHIP Webinar: Unified Cost Containment Approach and Next-level Outcomes Using AI

June 2021

Learn practical approaches to creating AI-driven unified approaches to cost containment for improved access, transparency, and outcomes

FNO: InsureTech Podcast

June 2021

Check out our recent podcast with FNO: InsureTech on how healthcare fraud, waste and abuse is tackled with tech.

Highmark NHCAA Session

November 2020

Learn how Highmark and Codoxo collaborate on psychotherapy analytics and savings in this recent NHCAA training session.

Pittsburg Technology Council: Fighting Health Care Fraud

August 2020

Kurt Spear and Musheer Ahmed, PhD, CEO and Founder of Codoxo, detail types of fraud most prevalent and what to do if you fall victim.

Whitepapers and Reports

COVID-19 FWA Schemes Report

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

Aite Matrix Payment Integrity in Healthcare Report

Codoxo Recognized as Leading Contender in Payment Integrity in Healthcare Aite Matrix

Using AI to Power Successful Unified Cost Containment Programs

5 best practices to using AI solutions for a holistic approach that breaks down silos while improving efficiency, transparency and insight, contributing to better healthcare.

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

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.

Fraudscope is now Codoxo. LEARN MORE >