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.
Better Detection – Proactive AI automatically identifies fraud schemes, including new and emerging ones, with low false positives
Smarter Investigation – Intuitive, easy-to-use investigative tool suite enhances productivity by speeding up investigations
Easier Collaboration – Integrated workflow and case management supports collaboration and sharing across the organization
Proactive AI automatically identifies new and emerging problems and schemes, with low false positives before claims are paid
Prioritizes suspicious claims based on risk scores and dollar amounts to maximize savings.
Provides most sophisticated intelligence and risk analysis before claims are paid.
So SIU investigators and analysts can accelerate investigations with full case management and automatically-gathered evidence chains
Works with existing analysis techniques and can integrate other intelligence feeds.
Adapts to any international coding standards automatically.