Insurance › Claims Management › Fraud Detection (Claims)
Codoxo
AI for health-insurance SIU targeting fraud, waste and abuse.
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Overview
Codoxo applies AI to health-insurance special investigations, detecting fraud, waste and abuse across claims. It helps payers identify aberrant billing and prioritize investigations.
The platform serves health plans and payer SIU teams that need proactive, AI-driven detection of improper claims.
Key Features
- + AI fraud, waste and abuse detection
- + Health-claims SIU support
- + Aberrant-billing identification
- + Investigation prioritization
- + Provider risk analytics
- + Case management support
Integrations
Open APICore claims systems
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