Claims Sciences
Claims Sciences
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    • Home
    • learn more
      • Philosophy & Research
      • Toolkit
    • See the Platform
    • Request a Demo
  • Home
  • learn more
    • Philosophy & Research
    • Toolkit
  • See the Platform
  • Request a Demo
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Understand the patterns of Fraud, Waste, and Abuse

Understand the patterns of Fraud, Waste, and AbuseUnderstand the patterns of Fraud, Waste, and AbuseUnderstand the patterns of Fraud, Waste, and Abuse

Claims Sciences enables CMS and State Agencies to identify high-risk providers and generate investigation-ready case briefs. 

Understand the patterns of Fraud, Waste, and Abuse

Understand the patterns of Fraud, Waste, and AbuseUnderstand the patterns of Fraud, Waste, and AbuseUnderstand the patterns of Fraud, Waste, and Abuse

Claims Sciences enables CMS and State Agencies to identify high-risk providers and generate investigation-ready case briefs. 

FWA Detection in Medicare: Making Sense of Disconnected Data

Claims Sciences is an analytics platform designed to identify fraud, waste, and abuse across public health programs. Our tools analyze provider-level billing, utilization, and coding patterns to detect statistically anomalous behavior relative to specialty and geography. 


The platform generates investigation-ready case briefs enabling programs integrity teams to prioritize enforcement actions, reduce improper payments, and act earlier in the payment lifecycle. 

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