Virtual SIU Services Datasheet

Virtual SIU Services Datasheet

As healthcare fraud, waste, and abuse continues to grow across the nation rapidly, health plan and agency cost containment teams are under increased pressure to meet compliance deadlines and prevent and mitigate exposure. However, such teams as the SIU are operating with highly limited resources, fragmentation across data, departments, and technologies, as well as increasing regulations and reporting mandates.

Through Codoxo’s Virtual SIU Services, health plans and agencies can focus on higher-value tasks by fully or partially outsourcing their SIU operations while ensuring compliance and good stewardship of their healthcare dollars.

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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.