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Data Mining Services

Banking and payments · by Codoxo

Integrates conventional rules-based techniques with AI-driven data mining to surface additional overpayments for recovery pursuit by analyzing vast volumes of healthcare claims data quickly and accurately.

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What it does

Integrates conventional rules-based techniques with AI-driven data mining to surface additional overpayments for recovery pursuit by analyzing vast volumes of healthcare claims data quickly and accurately.

  • Healthcare cost containment
  • Payment integrity
  • Fraud, waste, and abuse detection
  • Pre-claim provider education
  • Audit case management and workflow
  • Medical record and chart reviews
  • Provider contract and medical policy compliance
Category
Banking and payments
Built for
Healthcare and life sciences, Education
Users
Healthcare payers, Government agencies, Pharmacy benefit managers (PBMs)
Public API
Not offered

Not yet disclosed: deployment options, platforms, languages and support channels.

Pricing

Pricing isn't published

Codoxo doesn't list prices publicly. Ask them for a quote.

Security and compliance

As reported by Codoxo. Ask for audit reports before you buy.

  • HIPAACompliant
  • HITRUST CSFCompliant

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