OVERVIEW
Shift Fraud, Waste and Abuse/Improper Payment Detection provides a high-impact, AI-native approach to identifying fraud, waste and abuse for health plans. By leveraging enhanced data and artificial intelligence, the solution provides insights investigators need to maximize savings and recoveries. It gives other users within health plans the ability to analyze behaviors and actions across multiple lines of business—individual providers and provider networks, third parties, plan members, and more.
Key Features
Key Benefits
Demo Video(s)
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