ISO MedSentryTM is the industry’s first integrated model to detect medical fraud. ISO MedSentry combines the strength and efficiency of advanced analytics with the quality and vigor of our clinical experts’ analyses to set a new standard in the early detection of fraud.
Medical fraud: A critical problem
Medical fraud has become increasingly problematic for property/casualty insurers. Multiple streams of information sources — such as claimant histories, medical billing data, and provider paperwork — create an environment in which greater and more sophisticated medical billing ploys can flourish.
To fight those evolving schemes, ISO created ISO MedSentry, a system that puts the power back in the hands of individual insurers.
A new standard in medical fraud detection
ISO MedSentry is the first tool to integrate highly advanced analytical tools with a clinically expert, human-touch validation process — offering accurate, timely, and effective results.
ISO MedSentry provides insurers with reliable, specific, and actionable cases. As evidenced by its 90 percent referral acceptance rate, the system helps you avoid the delays and costs associated with false positives, which can be a huge burden on already-strapped SIU resources.
How it helps
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Find out how ISO MedSentry can help you win the fight against medical fraud.