EDIWatch’s advanced suite of anti-fraud, waste and abuse products are driven by two diverse powerhouse enabling technologies: our rules-based inference engines and our predictive modeling engines.
Each of these has been customized to work specifically within a pre-payment and post-payment environment. These highly engineered engines have been optimized to pinpoint patterns of suspicious behavior across all healthcare claim types, including, medical, facility, pharmaceutical and dental. These robust platforms, together with our fully integrated suite of products power every aspect of your prevention, detection and recovery efforts.
These technologies include:
Pre-Payment Engines:
- PreSPOT™ pre-payment rules-based inference engine
- PrePATE™ pre-payment predictive analytic technology engine
Post-Payment Engines:
