News & Events

FOR IMMEDIATE RELEASE

Blue Cross of Idaho Selects EDIWatch to Help Fight Fraud

ATLANTA, GA, Oct. 12, 2011 – EDIWatch, Inc., a leading provider of fraud solutions to the healthcare industry, announced today that it has been selected by Blue Cross of Idaho to provide advanced data analytics and software tools to support the insurer’s efforts to detect and reduce fraud, waste and abuse in the state.

EDIWatch was selected after a comprehensive procurement process and has already begun working on the project. A rapid “go live” date is set for the end of 2011.

EDIWatch supplies fraud technology and investigation services for many healthcare plans in the country but a selection by a Blue Cross plan is always a significant event for us,” said Arjomand Rahimzadeh, President of EDIWatch.  “Our new partnership with Blue Cross of Idaho expands our growing presence in the West and allows us to gain new insights into how fraud hides in today’s environment.  Healthcare costs continue to eat away at the wallets of businesses and employees, which threatens its affordability for many.  Our focus remains on the appropriate use of technology to empower our partners in their mission in order to enable them in achieving their goals.  We’re delighted to be part of the team tackling this important issue in Idaho.”

About EDIWatch, Inc.
A privately-held company incorporated in 1999 and headquartered in Atlanta, GA, EDIWatch is a premier provider of focused fraud solutions to the healthcare payor industry. EDIWatch offers a breakthrough suite of reliable, innovative products and services that address all three objectives of a fraud initiative: Detection, Recovery and Prevention. Clients including Blue Cross plans, HMOs and State and Managed Care Medicaid payors use these solutions in medical economics, internal audit and provider relations departments as well as investigation units to improve productivity, efficiency and interdepartmental communication in order to maximize bottom-line savings. For more about EDIWatch, visit http://www.ediwatch.com.

About Blue Cross of Idaho
Blue Cross of Idaho, a not-for-profit mutual insurance company, is a leader in delivering innovative health insurance products, services and information to more than 650,000 members. For 65 years, the company has served its customers by offering health insurance at a competitive price and has served the people of Idaho through support of community organizations, programs and events that promote good health. Blue Cross of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit https://www.bcidaho.com.

CONTACT: EDIWatch, Inc.
Russell Streur, Vice President, Data Operations
770-740-6300 ext. 375 or rstreur@ediwatch.com

FOR IMMEDIATE RELEASE

EDIWatch Joins Arizona’s Fight Against Medicaid Fraud:

ATLANTA, GA, January 25, 2011 – EDIWatch, Inc., a leading provider of anti-fraud solutions to the healthcare industry and The Arizona Medicaid Agency, Arizona Health Care Cost Containment System (AHCCCS), Office of Inspector General are pleased to announce the signing of a three-year contract. The contract will provide a software system that will enable investigators and auditors to analyze detailed claims in order to spotlight patterns of suspicious behavior. AHCCCS is committed to providing affordable healthcare to citizens at the lowest cost to taxpayers. Combating fraud, waste and mismanagement through the use of technology is one way to control costs.

EDIWatch was selected after a comprehensive procurement process and has already begun working on the project. AHCCCS plans to implement EDIWatch’s Intelligent Investigator and Trail Tracker products statewide in early 2011.

EDIWatch already provides anti-fraud technology to a significant portion of the country’s Medicaid managed care organizations,” said Arjomand Rahimzadeh, President of EDIWatch. “This new partnership with AHCCCS will allow us to greatly expand our offering in the public-paying sector. Our focus will continue to be on developing cutting-edge technologies that enable our partners to achieve their overall goals. With Medicaid costs stretching state budgets past the breaking point, we are delighted to be a vital part of the solution to this critical issue in Arizona.”

About EDIWatch, Inc.

EDIWatch, a privately-held company incorporated in 1999 and headquartered in Atlanta, GA, is one of the premier providers of focused anti-fraud solutions to the healthcare payor industry. EDIWatch offers a breakthrough suite of reliable, innovative products and services that address all three objectives of an anti-fraud initiative: detection, recovery and prevention. Active clients include commercial health insurance plans, health maintenance organizations and Medicare/Medicaid managed care organizations. EDIWatch solutions improve productivity, efficiency, interdepartmental communication and maximize bottom-line savings. For more about EDIWatch, visit www.ediwatch.com.

CONTACT: EDIWatch
Victor Sanchez, Executive Vice President
770-740-6300 or vsanchez@ediwatch.com

Contact us today

1-770-740-6300

  • Testimonial

    In four days of collaboration with an EDIWatch investigator, 40 cases and issues were identified totaling over $738,000 in savings! – Healthcare Payor, Midwest
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