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Healthcare insurance fraud and abuse costs Americans billions of dollars every year. We all pay… in reduced benefits, higher taxes, increased premiums, and more expensive doctor visits and prescriptions.
EDIWatch is a privately held company that focuses solely on insurance fraud detection and prevention. Over the past 20 years, we have pioneered rules-based technology for health claims fraud detection, pre-adjudication, and underwriting as consultants.
As a result, our methodology and software provide a solution to an industry challenge that costs companies $100 billion per year.
We use claims data, extensive rule-sets, pattern matching, and internal and external reference data to guarantee increased productivity of investigative units, improved provider information for auditors, and pattern documentation for adjudication.
EDIWatch is committed to the education of healthcare fraud and abuse. We are a Premier Supporting Member
of the NHCAA and participate in Blue Cross Blue Shield's National Internal Audit and
Anti-Fraud Conference. |
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