Seamlessly manage fraud cases in our Payment Integrity Platform, or yours. Alivia #CaseManager ties it all together with our pre-pay #ClaimsEditing modules, post-pay #FWAFinder, and existing workflows, providing a comprehensive solution. More Cases, Faster Real-Time Analytics Intuitive Dashboards Seamless Integration Very Easy to Use Learn More: https://lnkd.in/eNE8nbfG #Healthcare #PaymentIntegrity #GenerativeAI
Alivia Analytics’ Post
More Relevant Posts
-
Financial institutions leverage data for success, but soaring third-party and operational risks threaten to derail the ride. Did you know? 👇 • Data breaches caused by third parties cost an average of $4M 💰 • Regulatory actions by FDIC & OCC have doubled over the past year 📈 (Now for the good news. 🎉) In his latest blog, Maksym Ostapenko, product management leader at Vendia, shares how financial leaders can build a standard of care framework for secure, compliant data exchange—lowering third-party risks, improving regulatory compliance, and strengthening business partnerships. Learn how ➡️ https://vendia.fyi/4ahTzj1 #thirdpartydatariskmanagement #datariskmanagement #financialservices #dataautomation #standardofcare
To view or add a comment, sign in
-
Zala Insurtech News: Resilience expanded its capabilities through the acquisition of BreachQuest, an innovative incident response technology solution. The post Resilience Acquires BreachQuest to Bolster Client Incident Preparedness Against Email Compromise appeared first on Insurtech Insights. Read on below >> #insurance #innovation #insurtech
Resilience Acquires BreachQuest to Bolster Client Incident Preparedness Against Email Compromise | Insurtech Insights
https://www.insurtechinsights.com
To view or add a comment, sign in
-
Vice President, Domain Engineering services at hunterAI| Setting AI Chasis for Healthcare spend optimisation| Health innovator| Growth leader.
Utilizing a Multi-Payer Closed Claims ReadyData system can provide organizations with a competitive edge in the claims process. By accessing comprehensive data from multiple payers, organizations can make informed decisions, identify trends, and detect fraud more effectively. This leads to improved efficiency, streamlined processes, and potential cost savings in claim management. Leveraging insights from diverse data sources enables organizations to optimize their strategies, enhance decision-making, and ensure a more transparent and efficient claims process. #MultiPayerData #ClaimsProcessing #Efficiency #FraudDetection #CostSavings
To view or add a comment, sign in
-
Accelerate and simplify invoice review and approval workflows with Timesmart.AI. Our innovative solution can be automated to mitigate the risks associated with human error, improve payment accuracy and transparency, and help organizations adhere to everchanging regulatory compliance and prevent fraud. #HealthcareCompliance #HealthcareTechnology #ContractCompliance #PhysicianCompensation #ComplianceManagement #HealthcareRegulations
To view or add a comment, sign in
-
In the battle against healthcare fraud, waste, and abuse, experts shed light on the underlying challenges. A recent Codoxo survey spotlights critical obstacles such as identifying providers of interest, which constitutes half of the SIU team’s focus, while operational issues surpass technological barriers. With departments grappling with these complexities, Codoxo's powerful Fraud Scope platform is proving indispensable in enhancing detection and improving ROI - as real-time survey responses from customers indicate. View our recent infographic to learn how AI is shaping the future of healthcare cost containment. #fwa #paymentintegrity #aiinhealthcare
Infographic-SIU Experts Share Pressing Challenges & Successes - Codoxo
https://www.codoxo.com
To view or add a comment, sign in
-
Back in the early 2000s, I founded my first company with a focus on tackling fraud in the financial sector, dealing with large and complex institutions, particularly in the mortgage field. We grew significantly, serving over 400 banks before being acquired in 2009 by NYSE: LPS (now ICE). Throughout this period, despite various changes in the financial world, our central aim remained steadfast: to help protect customers from fraud and contribute to a safer financial system. Presently, we observe a comparable issue in the healthcare sector. Similar to the financial sector, fraud in healthcare represents a substantial challenge. The healthcare system is in urgent need of an overhaul, grappling with outdated data management practices, complex billing systems, and inefficiencies in back-office operations. Though the financial and healthcare sectors are distinct in many ways, they share common challenges. Both sectors require innovative strategies for developing data-driven products and operating within highly regulated and complex environments, involving a various organizations, and stakeholders. At Zenda Capital we are keen to contribute our learnings gained from our recent research work and experience in building and managing businesses across various regulated sectors -> https://lnkd.in/e4FGbydX Cc: Jeffrey Dong, Bailey Richards
Fraud, Waste, & Abuse in Regulated Industries
zenda.substack.com
To view or add a comment, sign in
-
AI is already transforming the insurance industry, affecting claims, fraud detection, underwriting, and more. But we must balance AI's potential with data accuracy, ethics, and human expertise. Nika Lee, Chief Underwriting Officer at Aioi Nissay Dowa Europe, recently spoke to Insider Engage about our partnership to build a unique fraud detection and prediction solution, enabling AND-E to save 2% on their capped indemnity spend (tracking to double this year!) Find out more about how you can revolutionise your fraud detection: https://lnkd.in/edpR5G_Z #AIinInsurance #ResponsibleAI
Don't miss the latest Insider Engage issue, featuring an insightful interview with Nika Lee, Chief Underwriting Officer UK, as she explores how AI is transforming the approach to fraud in the insurance industry. Our partnership with AI specialists Mind Foundry resulted in a game-changing fraud detection and prediction solution, that helped us increase fraud detection rates, boost referrals, and optimize claims handling – a win for both the insurance industry and consumers alike. Read the full interview here https://lnkd.in/eZVwWFBa #aiininsurance #insurancefraud #frauddetection Insider Engage
To view or add a comment, sign in
-
Watch Damco’s on-demand webinar to learn how to optimize the first notice of loss process in the insurance claims journey through AI-enabled tools. Check out here 👉 https://lnkd.in/gBnBJ3ac #insurancetech #aiinclaims #ai #aitech #insuranceclaims
[On-Demand Webinar] Improving Claims Processing with Digital FNOL
damcogroup.com
To view or add a comment, sign in
-
"DataFix is doing what I call, the dirty plumbing between all our systems. End users can simply click on a button and obtain accurate policy agreement data and commission percentages while Synatic works in the background cleansing, verifying, and integrating data..." Read More about DataFix and Synatic in our case study -> https://hubs.ly/Q027fCPm0 #automation #insuranceagent #insurance #insuranceindustry #Insurtech #DIH #DataFix
To view or add a comment, sign in
-
CEO Telos Solutions | Non-Exec Board Advisor | Consumer Champion | Writer of thought leadership articles | Industry working groups Chair | Speaker | Regulatory consultant | Volunteer | Achieve long lasting legacy results
A great article from SimplyBiz in Professional Adviser this week which begs the question what are the tools and systems that firms are having success with in meeting the requirements and data needs (as well as better serving their customers)? Comentis Ltd is what you are looking for - a powerful non-invasive assessment tool which can work across Financial Services and Care and Health sectors, which has built in data reporting. What if you discover vulnerability? Well their Vulnerability Support Framework is free to everyone - download a copy here https://lnkd.in/eFxdp2ra
Vulnerable client processes: What the FCA wants from advisers
professionaladviser.com
To view or add a comment, sign in
5,075 followers