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.

T

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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