Fraud Scope is an AI-assisted platform that accelerates the identification of fraud, waste, and abuse

Our comprehensive claims investigation platform utilizes proven and patented AI-based technology to empower investigators and analysts to derive insights and conduct full investigations of suspect claims.

  1. Better Detection – Proactive AI automatically identifies fraud schemes, including new and emerging ones, with low false positives

  2. Smarter Investigation – Intuitive, easy-to-use investigative tool suite enhances productivity by speeding up investigations

  3. Easier Collaboration – Integrated workflow and case management supports collaboration and sharing across the organization

Fraud Scope Advantages

Early Detection

Proactive AI automatically identifies new and emerging problems and schemes, with low false positives before claims are paid

Prioritization of Suspicious Claims

Prioritizes suspicious claims based on risk scores and dollar amounts to maximize savings.

Prepay Detection

Provides most sophisticated intelligence and risk analysis before claims are paid.

Integrated Workflow

So SIU investigators and analysts can accelerate investigations with full case management and automatically-gathered evidence chains

Easier Integration

Works with existing analysis techniques and can integrate other intelligence feeds.

International Compatibility

Adapts to any international coding standards automatically.

Maximizing SIU Effectiveness with an AI-assisted Investigation Platform

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