Our team of RNs, Certified Coders, Certified Fraud Examiners, and experienced investigative staff leverages tools and techniques to detect and prevent fraud. We develop a case, perform detailed claims analysis, coordinate with law enforcement agencies, and support the cases through prosecution.
We provide only verified policies to our clients. We supplement 270/271s with other verification processes, including through the Web and live person-to-person telephone contact. We perform over 350,000 voice verifications a month.
