Fraud detection software

Fraud Detect

A powerful fraud prediction and detection tool

Identify fraud patterns 

Access analytics to understand program risk and identify patterns of potentially fraudulent behavior. 

Protect your program's resources 

Gain more quality leads with quick, efficient analysis.

Ensure program integrity 

Analyze activities to discover and prevent program fraud, waste, and abuse.

Identify fraud patterns 

Access analytics to understand program risk and identify patterns of potentially fraudulent behavior. 

Protect your program's resources 

Gain more quality leads with quick, efficient analysis.

Ensure program integrity 

Analyze activities to discover and prevent program fraud, waste, and abuse.

Actionable, trusted analytics and results

Detect anomalies and patterns within program data and identify where bigger challenges, like fraud, exist

Risk scoring

Detect fraudulent behavior with confidence

Enable detailed analyses to predict and detect complex schemes with risk scoring stack-ranked lists of all program providers and participants based on their risk for fraud.  

Intuitive analytics

Advanced prediction and machine learning algorithms

Discover networks and associations that exist among program providers and beneficiaries. These trends, patterns, clusters, and individual leads are delivered through easy to interpret graphs, link charts, tables, and other methods to clearly display the cause for suspicion.

Investigation-ready leads

Enhanced lead prioritization

With the addition of CLEAR public records, your analysts and investigators are provided enhanced program data with live data updates that can highlight what leads should be prioritized.

Identified over $50 million in overpayments that led to $18.7 million in recoveries by Medicaid Inspector General

California OSHPD team analyzed and vetted 39,000 applicants in one week

Since 2016, identified 75,000 beneficiary leads = $36 million in savings and a 15X ROI

In one state, duplicate payment model identified over $130 million in duplicate payments

Questions about Fraud Detect? We’re here to support you.

+1 916 389 7800

Call us or submit your email and a sales representative will contact you shortly.