| Feature |
Benefit |
Return/Savings |
| Regularly updated rule-set |
New schemes identified more quickly; staying current with the latest fraud schemes; minimize risks of not attending training and conferences |
Reduce the time to identify new schemes and the subsequent losses |
| Guaranteed ROI |
Reduced risk; Executive Management Support |
Insure that the savings will be greater than the investment |
| Pre-payment screening* |
Keeping funds in-house until verification is complete; Enhancing
Provider cooperation |
Increase the savings by 3 times the retrospective amount |
| Composite Lead Indicator (CLI) |
Closely target SIU investigations |
Increase effectiveness by starting with quality leads |
| Open architecture |
Installs in weeks, not months |
Decrease cost of implementation; begin recovery sooner |
| Automated reports |
SIU and IT staff are further removed from mundane and routine tasks |
Decrease number of internal personnel needed to support investigators |
| Provider profiling |
Detect patterns of abuse; track patterns of submissions |
Increase savings by identifying who is consistently out of sync with their peers on suspect claims |
| Pre-loaded rules |
Experience-based solution; system constantly grows in intelligence |
Industry expertise at investigator's desktop |
| Personalized account management* |
Knowledgeable consultants to work directly with you |
Increase savings and decrease the time to return on investment |
| User-centric interface |
User-friendly interface; configurable to each organization's procedures and cultures; reduce discovery time |
Quickly add new rules/queries; ability to share information across department with a consistent and customized view |
