AI Solutions for Healthcare

Resources

Application Datasheets

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Datasheet

Healthcare Integrity Suite

Download and share an overview of everything the Healthcare Integrity Suite can do for your organization.

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Datasheet

Fraud Scope

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

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Datasheet

Provider Scope

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

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Datasheet

Payment Scope

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

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Datasheet

Insight Scope

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

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Datasheet

Network Scope

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

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Datasheet

Clinical Scope

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

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Datasheet

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

Infographic

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

Infographic

Top Fraud, Waste & Abuse Cases in Healthcare

Infographic

AI-Driven Fraud, Waste & Abuse Delivers Return

Infographic

Payment Integrity Market Trends: What you Need
to Know

Webinars and Podcasts

WEBINAR

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, in order to improve access & transparency across the cost containment spectrum.

WEBINAR

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

June 2021
Learn practical approaches to creating an AI-driven unified approach to cost containment for improved access, transparency, and outcomes across the cost containment spectrum.
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PODCAST

FNO: InsureTech Podcast

November 2020
Check out our recent podcast with FNO: InsureTech on how healthcare fraud, waste and abuse is tackled with tech.

SESSION

Highmark NHCAA Session

November 2020
Learn how Highmark and Codoxo collaborate on psychotherapy analytics and savings in this recent NHCAA training session.
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PODCAST

Pittsburg Technology Council: Fighting Health Care Fraud

August 2021

Kurt Spear, Vice President of Financial Investigation and Provider Review at Highmark, and Musheer Ahmed, PhD, CEO and Founder of Codoxo, detail types of fraud most prevalent and what to do if you fall victim, including an overview of how Codoxo arms Highmark with forensic AI tools that identify problems and suspicious behavior.

Whitepapers and Reports

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WHITEPAPER

COVID-19 FWA Schemes Report

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

INDUSTRY REPORT

Aite Matrix Payment Integrity in Healthcare Report

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

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WHITEPAPER

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 >