Pareo Fraud
Detection & Case Management
The ultimate solution for the SIU. A.I.-powered and designed by investigators, Pareo Fraud is the only FWA technology solution on the market that natively integrates with your payment integrity operations for a 360-degree approach to mitigating improper payments.
Innovative & Effective FWA Technology
Pareo Fraud enables the SIU to go deeper and wider into data, effectively manage cases, lower false positive rates, and more.
Features
Use Pareo Fraud: Detection & Case Management to automate, integrate, optimize, organize and report on your FWA efforts. Advanced A.I.-powered technology enables your health plan to find hidden schemes, reduce false positives, and proactively identify trends.
Automate
Add reportable fields custom to your needs on the fly to streamline reporting to state Medicaid and non-government entities. Minimize manual tasks with Robotic Process Automation.
Detect
Capitalize on fewer false positives, intelligent technology that grows smarter with each use, and no need for rules. Our detection solution is built on deep learning technology.
Integrate
Promote better communication and partnerships with your entire payment integrity operation for comprehensive overpayment detection and savings. Exclude active fraud cases from payment integrity audits.
Optimize
Configure fields and reports – without custom development – to correspond with your proven processes and improve platform utilization.
Organize
Capture and manage leads and cases separately, easily link multiple cases and documentation, transition tips to cases seamlessly with minimal clicks.
Report
Benchmark FWA performance, providers, and schemes to determine program efficacy with intuitive visual reporting.
True A.I. technology powered by deep learning that can…
Find hidden schemes
Super Scores™ on 20+ weighted metrics push the leads to investigators rather than querying and pulling leads. Increase speed to decision and action. Results get more precise over time.
Identify trends proactively
Go deeper and wider into the data to identify trends and causal relationships. Integrate data from geography, provider databases and other external sources along with payment integrity and even legacy rules-based systems to see the fuller picture.
Reduce false positives
Advanced technology models based on deep learning methods combined with domain knowledge rules analyze data in multiple dimensions to reduce false positives and increase true positives for improved efficiency with investigators.
Related Perspectives
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News & Insights
How does best in class A.I.-based technology combine with domain expertise to deliver a premier FWA technology platform?
How can Pareo work for you?
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