A powerful tool that utilizes expert machine-learning technology
Get detailed analyses to predict and detect complex schemes. You'll receive risk-scoring, stack-ranked lists of all program providers and participants based on their risk for fraud.
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Discover potential fraud through trends, patterns, clusters, and individual leads. This information is delivered through easy-to-interpret graphs, link charts, tables, and other methods to clearly display the cause for suspicion.
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With the addition of CLEAR public records, your analysts and investigators are provided with enhanced program data containing live data updates that can highlight which leads should be prioritized.
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Identify fraudulent behavior in provider and program billing and deceased or incarcerated beneficiaries. Review trends of a program participant's information, behaviors, and transactions.
Find fictitious businesses — and improper or overpayments — while keeping unemployment benefits in the right hands. Receive a complete view of potential fictitious businesses and trends.
Detect complex SNAP fraud schemes, get a comprehensive review of fraudulent patterns in SNAP programs, and reduce the amount of improper benefit payments with Fraud Detect.
Fraud Detect identified $50 million in overpayments, which led to $18.7 million in recoveries by Medicaid Inspector General.
California's Office of Statewide Health Planning analyzed and vetted 39,000 applicants in one week.
The duplicate payment model identified $130 million in duplicate payments.
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