AI Solutions for Healthcare


Creating Efficient & Accurate End-to-End Audit Management across Pre-Pay & Post Pay

Reducing Provider Abrasion through Proactive Provider Coding & Billing Education Programs

Audit Scope provides seamless integration of detection, selection, audit creation, tracking and reporting of audits across all pre-pay and post-pay functions. When paired with Codoxo’s advanced AI detection technology such as that used in Codoxo’s Fraud Scope solution, health plans, state agencies and Pharmacy Benefits Management (PBMs) organizations can create efficiencies and break down data silos to create a single view across all claims, audits, and departments.

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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


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