Fighting fraud, waste and abuse is a complex problem to solve without the help of AI. Historically, high health claims volumes, siloed data, and existing rules based systems made it difficult to identify ever-evolving fraud patterns. Over several years, we partnered with this tier 1 health & life insurer to help position them well as a leader in the fight against health insurance fraud by implementing Shift's Fraud, Waste and Abuse Detection.
Download the full case study, to uncover the process this insurer took to achieve an 87% hit rate.
