Fraud, Waste & Abuse Companies

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Companies that manage fraud, waste, and abuse provide tools to help employers identify fraud, waste, and abuse in their healthcare costs.

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Rachel B

HR Director

Vendor Banner Fraud, Waste & Abuse Companies Q2  2024

Q2 June 2024: Winners

Top 0 Fraud, Waste & Abuse Companies

List of the top 0 Fraud, Waste & Abuse Companies in Shortlister as of June 2024, presented in the order they appear in the full Vendor Listing tab.

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    34 Vendors
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    6 Degrees Health

    6 Degrees Health is a service-first cost containment company. For many, we set care free from the constraints of traditional networks. For others, we bring integrity to historically opaque billing practices. For all, we leverage unparalleled clinical expertise... View Full Profile

    Employees
    141
    Lives Serviced
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    3rd Party Integrations
    Android Native Application
    iOS Native Application
    Top Offerings
    Reference Based Pricing (RBP)
    Healthcare Transparency Solutions
    Fraud, Waste & Abuses
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    Case IQ

    Uncover, Investigate and Prevent Incidents and Misconduct Case IQ is a powerful employee hotline and case management platform that streamlines your investigative process. Case IQ provides the data you need to analyze results, prevent incidents & losses, and ... View Full Profile

    Employees
    150
    Lives Serviced
    10,000,000
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    Android Native Application
    GDPR Compliant
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    Employee Ethics Reporting
    Fraud, Waste & Abuses
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    Milu Health

    Milu's BillFighter tool flags medical bills with potential mistakes, notifies employees of these potential mistakes, and offers to dispute the bill on their behalf. Bills with mistakes are flagged from claims or EHR data and reviewed by Milu's advanced AI and ... View Full Profile

    Employees
    7
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    GDPR Compliant
    SOC audit(s) performed
    SSAE 18 / SOC Audit(s) Performed
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    Benefits Decision Support
    Fraud, Waste & Abuses
    Healthcare Transparency Solutions
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    Alliant Health Solutions

    Alliant Health Solutions is a nonprofit organization driven to make health care better in the United States by improving quality of care, increasing the value of health care, and promoting prevention and treatment for chronic illnesses. Our family of companies... View Full Profile

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    Crumdale Partners

    We offer protection from high-cost medical claims due to fraud, waste, or abuse with our active claims monitoring. Our expert clinicians and in-house pharmacists analyze claims, identify errors and implement improvements for savings through experienced claims ... View Full Profile

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    Android Native Application
    Dashboard analytics
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    Emerging Products
    Pharmacy Benefit Group Purchasing Coalition
    Stop Loss Coverage
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    First Healthcare Compliance

    We help create confidence among compliance professionals through education, resources, and support in the areas of HIPAA, OSHA, human resources compliance, and fraud waste and abuse laws. Our flexible, scalable, secure, cloud-based software allow organizations... View Full Profile

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    Integrity Advantage

    Integrity Advantage is the way healthcare payers reimagine the value of their fraud, waste and abuse program. We’ve built our diverse knowledge base through decades of doing. Our experience providing support to dozens of plans across all lines of business, ... View Full Profile

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    Qlarant

    For 48 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s... View Full Profile

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    Zigron Inc.

    Zigron was founded in 2006 by enthusiastic and dynamic gurus. Zigron specializes in Cloud and SaaS based solutions, Big Data Analytics, New Platform/Product Development, Rich User Experience, User Experience Modernization/Unification and Advanced Data ... View Full Profile

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    360 Health Systems, Inc.

    We aim to empower Health Plans and Payor Healthcare Organizations with a unique, easy-to-use and unparalleled technology of tomorrow to catch improper claims payments. 360 Health System's digital and non-traditional approach enables you to take full control ... View Full Profile

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    ACS - Training & Technologies

    Established in 1970, ACS is well established and reputed privately owned technology-enabled services and solutions company with advanced capabilities in training & consultancies, medical billing, medical transcription, and web and software services. We design ... View Full Profile

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    Alaffia Health

    Alaffia Health is a healthtech company that uses machine learning and AI to identify and eliminate provider fraud, waste, and abuse in healthcare claims. We work with health plans, TPAs, self-funded employers, reinsurers, and government agencies to lower ... View Full Profile

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    Barrow Wise Consulting, LLC

    After gaining more than 20 years of expertise in IT consulting and building strong customer relationships across the private and government sectors, our Founder created Barrow Wise Consulting, LLC in 2012, with a commitment to learning from clients and ... View Full Profile

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    Brighterion

    Brighterion, a Mastercard company, was founded in 2000 and acquired by Mastercard in 2017. Building on our experience in preventing financial crime, Brighterion was engaged by Mastercard in 2006 to deploy our AI-based fraud solution for payments amongst its ... View Full Profile

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    ClaimInformatics

    At ClaimInformatics, we are dedicated to discovering and recovering improper payments on behalf of employers and administrators. We have designed a state-of-the-art, highly secure, HIPAA Compliant system that provides new levels of accuracy and transparency ... View Full Profile

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    ClarisHealth

    ClarisHealth challenges the status quo for all payment integrity services to develop and deliver the most exceptional and innovative technology solutions addressing the real industry challenges of today and tomorrow for health plans. What sets us apart? TOTAL ... View Full Profile

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    Context 4 Healthcare, Inc.

    Headquartered in the Chicago area, Context 4 Healthcare, Inc. has more than 33 years of experience in software & data products for healthcare compliance. Our solutions impact more than 4,000 clients & tens of millions of lives. Context’s solutions have been ... View Full Profile

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    eSimplicity

    Launched in 2016, eSimplicity is creating an elegantly connected, digitally enhanced and well-communicated world. The team delivers Healthcare IT, Cybersecurity, and Telecommunications solutions that improve the life and health of millions of Americans while ... View Full Profile

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    GPS Consultants

    GPS Consultants, LLC is a management consulting and financial forensics firm focused on assisting companies with Growth, Productivity, and Strategy by: - Enhancing performance monitoring and record keeping - Streamlining accounting and administrative processes... View Full Profile

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    Health Cost Labs

    Health Cost Labs is a medical cost transparency company whose mission is to create competition amongst Providers and Facilities. By providing transparent cost and efficiency data to members, employer groups, providers and insurance companies, we can bend the ... View Full Profile

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