Our Services
A structured, intelligence-driven approach to detecting, investigating, and preventing fraud, waste, and abuse across healthcare claims.
Claims Review & Analysis
We leverage advanced analytics and robust algorithms to review and analyze claims data, identifying anomalies and irregularities that may evade traditional detection methods.
Audits & Investigations
Our dedicated investigators conduct in-depth audits and claim investigations, ensuring compliance with regulations and contractual obligations while validating claim accuracy.
Education & Prevention
Through targeted education for providers and members, we reduce billing errors, improve awareness of payer policies, and strengthen compliance across the ecosystem.
Technology-Driven Detection
By incorporating predictive modeling, artificial intelligence, and machine learning, we proactively flag potential fraudulent activity and billing discrepancies.
Regulatory Compliance
We ensure continuous adherence to regulatory requirements, payer policies, and industry standards—promoting transparency, accuracy, and trust in every transaction.
