Insurance › Claims Management › Fraud Detection (Claims)

Codoxo

AI for health-insurance SIU targeting fraud, waste and abuse.

Own Codoxo? Upgrade to an Enhanced Listing — edit every detail and route buyer inquiries straight to you.

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

See something inaccurate or out of date? Let our editorial team know.