Detect fraud, validate claims, and gain visibility across policyholders, hospitals, and claims — powered by voice + data intelligence.
Traditional methods fail to address the complex, evolving nature of insurance fraud in today's digital landscape.
Slow, human-dependent verification leads to delays and missed fraud patterns.
No automated correlation between claims and medical diagnosis codes.
Call center data exists in silos, disconnected from claim verification.
Multi-lingual claims create verification challenges and fraud opportunities.
Our comprehensive solution addresses fraud detection from every angle.
Advanced voice analysis detects stress and verifies identity.
200+ indicators evaluated in milliseconds.
Provider pattern tracking & geo-risk intelligence.
Diagnosis ↔ treatment alignment & misuse detection.
Every step captured for compliance and review.
Risk-based routing reduces manual load by 40%.
A seamless flow from claim intake to resolution with intelligent fraud detection at every step.
Automated ingestion from TPAs, hospitals, and policyholders
Correlation across policies, providers, and historical claims
AI-powered call analysis & authentication
Real-time scoring against 200+ indicators
Auto-approve or flag for investigation
Optimized for the world’s most-used languages.
Quantifiable impact across insurance providers and TPAs.
Detection latency
Legit claim processing
Voice + data correlation
Pattern identification
Comprehensive support through implementation and beyond.
Dedicated specialist for first 90 days
Strategic reviews & playbooks
Direct escalation for critical needs
Monthly training
Custom analytics
Included bundles
Regional coverage