Medicaid fraud and medical identity theft are constant threats for all state health and human services agencies that cost taxpayers billions of dollars each year. Today’s fraud cannot be stopped with business rules and traditional methods. The ASR Fraud Firewall™ for Healthcare uses advanced analytic techniques to identify fraudulent claims and stay ahead of malicious attacks by detecting and responding to known, unknown, and evolving threats.
Benefits of the ASR Fraud Firewall™ for Healthcare include:
- Protect your MMIS – stop fraud before it pollutes your system while meeting prompt pay laws.
- Invisible to the Providers – reduces the burden placed on legitimate providers.
- Identify Schemes – correlate complex events to stop fraud.
- Machine Learning Algorithms – update continuously to detect the latest schemes.
- Intuitive Reports – visualize your data to make results understandable and actionable with ASR Fraud Foresight.
- Unlimited – every claim is analyzed.
Learn more about our healthcare analytic products: