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Identify medical provider fraud quickly and accurately

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Medical provider fraud, waste, and abuse are major issues for insurers. Quickly discover fraud schemes in your book of business with MedSentry®, an advanced lead-generation tool that leverages aggregated industry data and predictive analytics.

Icon 2 500K+ providers
Icon 3 6M+ patients
Icon 4 $40B+ billed financial exposure

Find outlier billing trends by benchmarking providers

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Learn how a top 10 insurer used MedSentry to uncover over $170K in questionable bills from a physical therapy practice.

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MedSentry is part of a full suite of claims solutions that provide compliance, claims development, and deeper fraud analysis and tools.

Equip SIU professionals with powerful insights

Get actionable leads, significant ROI

Siu Managers

Get actionable leads, significant ROI

With MedSentry, SIU managers can empower their teams to know which providers to investigate and why. The simple solution helps vet leads and improve referrals. And it helps managers articulate ROI with several tangible success metrics.

Hit the ground running with greater insights

Siu Investigators

Hit the ground running with greater insights

Investigators can get qualified leads backed by specific issues to investigate. The solution helps you devise investigative plans, launch factual examinations, and develop questions for interviews, examinations under oath, and depositions.

Detect and deliver better analytical leads

Siu Analysts

Detect and deliver better analytical leads

Analysts can quickly identify which providers to focus on in their book of business and compare them to peers. The tool analyzes massive amounts of providers to spotlight outlier trends and patterns of practice, including high exposures and emerging schemes.

Predictive analytics help detect and stop provider fraud, waste, and abuse

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The solution applies more than 100 advanced analytic models to your medical bills. It provides a risk score for every medical provider in your book of business and specific issues with each provider scored.

Empower SIU to impact the bottom line

Empowering Insurers To Stop Medical

Learn how MedSentry helps reduce your medical billing exposure.

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Icon 6 Enhance fraud, waste, and abuse detection
Icon 7 Reduce analytical and investigative cycle times
Icon 8 Increase loss avoidance
Icon 9 Improve quality of referrals

Contact Us to Learn More

Other Ways to Connect

We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:

  • Chat Now

    Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

  • Main Toll-Free: 1-800-888-4476

  • Global Toll-Free: International Access code, then 800 48977489
    When calling from the UK, please dial 00 800 4897 7489

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