Using AI to Power Successful Unified
Cost Containment Programs

Complete the form below to see how Codoxo’s AI-based fraud detection solution helped Program Integrity Unit at State Medicaid Agency realize a 1,500% ROI in 12 Short weeks. The Program Integrity unit within this fee-for-service state Medicaid agency was hindered by a lack of cohesive analytic capabilities and technologies and highly manual processes, creating limited reporting. Within a few short weeks of using Codoxo’s Fraud Scope AI platform, the agency realized significant ROI, including millions in back billing opportunity, millions in identified total risk exposure, and an overall estimated $1M in hard recovery.

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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

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

SERVICES

We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.