State & Federal Agencies

Fuel Your Shift Left Strategy With Healthcare Cost Containment Solutions From Codoxo

AI-powered solutions designed to reduce costs, ensure payment accuracy, and foster seamless collaboration for healthcare agencies.

Achieve a 1500% ROI in Just 12 Weeks.

Proudly reducing healthcare costs for

over 90 million lives

and trusted by top healthcare payers, government agencies, and pharmacy benefit managers (PBM/PBAs)

Smarter Cost Containment, Greater Efficiency.

Top challenges plaguing Medicare, Medicaid, state agencies, and managed care plans require differentiated solutions. Move from legacy manual processes to automation.

Codoxo’s award-winning Unified Cost Containment Platform gives healthcare agencies a unified view across the cost containment spectrum. It empowers teams to identify savings opportunities in program integrity; fraud, waste, and abuse (FWA); provider coding and billing education; network integrity; contract management; and clinical audit review.

By leveraging Codoxo’s proprietary, highly accurate AI and generative AI technology, agencies can stay ahead of evolving schemes and fraud threats while optimizing program integrity. The platform fosters cross-department collaboration across SIUs, Program Integrity, Provider Services, and Networks teams, enabling seamless workflows and data sharing. Real-time access to actionable insights builds confidence in decision-making, while customizable, easy-to-generate reports ensure compliance and transparency.

With Codoxo, healthcare agencies can reduce costs, streamline workflows, and protect their resources—all while enhancing operational efficiency and regulatory confidence.

Benefits for Healthcare Agencies Working with Codoxo

Better cost containment

Identify savings opportunities early, improve lead quality, and maximize ROI

Streamlined processes

Automate manual workflows across SIUs, Program Integrity, Provider Services, and compliance teams

Unified platform

Centralize all cost containment data for seamless collaboration and reduced silos

Advanced AI detection

Stay ahead of evolving fraud, waste, and abuse schemes with real-time, accurate insights

Enhanced reporting

Easily generate and customize reports to meet stringent compliance mandates and operational needs

Regulatory confidence

Quickly respond to state or federal audits with robust, transparent data management

"AI fills the ROI gaps. It’s not just to fine tune, filter, and make things more efficient, consistent and accurate. It’s also to fill in the gaps on the other reviews we haven’t been able to address.”

VP Payment Integrity, Large Regional Health Plan

Smarter Healthcare Cost Containment Starts With Codoxo

Codoxo’s products, services, and solutions are delivered through our Unified Cost Containment Platform, empowering healthcare organizations to take a seismic shift left by ensuring faster, more accurate claim payments, reduced fraud, waste, and abuse, and enhanced operational efficiency. By transforming the landscape of healthcare cost containment and payment integrity with industry-leading AI, Codoxo is at the forefront of making healthcare more affordable and effective.

Explore Solutions and Services for State and Federal Agencies:

Ready to Shift Your Healthcare Payment Integrity Upstream?