Fraud Scope
Automatically and accurately detects new and emerging fraud schemes, streamlines evidence chain collections, and integrates workflows for FWA investigations.
What it does
Automatically and accurately detects new and emerging fraud schemes, streamlines evidence chain collections, and integrates workflows for FWA investigations.
- 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
- Water, waste and environment
- 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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