Discover the hidden connections among claimants, providers, and businesses to help identify organized insurance fraud. NetMap’s advanced analytics greatly enhance the SIU’s ability to discover fraud rings within their company’s claims. The software quickly evaluates claim information, public records, and other data to reveal patterns indicative of fraud.
61% of insurers say organized fraud is increasing, according to the Coalition Against Insurance Fraud.
NetMap accesses broad claims data from ClaimSearch and uses sophisticated node link analysis and fraud analytics to find connections among massive amounts of data. It helps insurers:
Powerful analytics and data visualization technology help SIU analysts discover intricate patterns of fraudulent activity quickly. NetMap compresses weeks of analysis into hours, helping streamline organized claims fraud investigations and reduce the time from detection to referral.
An interface to Google Maps for location insights
Powerful workflows and reporting capabilities to increase efficiency
Quick implementation with minimal IT lift
Learn how NetMap helps detect the most sophisticated fraud network with advanced analytic tools.
Insurers need to determine quickly and efficiently whether a claim is likely to be fraudulent—or if it can be fast-tracked for settlement. ClaimDirectorSM uses the power of predictive analytics to score claims with greater accuracy and reveal questionable attributes.
Special investigations units are experiencing new challenges with complex cases, increased fraud, and stringent regulatory requirements. Case Manager™ is a fully configurable fraud management solution that improves productivity and efficiency by automating triage, assignment, and compliance reporting.
Insurers need to detect unethical medical billing practices early to reduce claim leakage and process legitimate bills faster. MedSentry® uses predictive analytics and expert clinical analysis to uncover fraudulent medical provider fraud in your billing data. It also delivers detailed reports to help guide investigations.
Find the critical data you need at FNOL (first notice of loss) to help complete claims quickly and spot potential fraud. Decision Net® helps fill in the gaps with supplemental claims information from best-in-class sources. This extensive resource helps claims teams improve decision making, expedite meritorious claims, and increase the impact of SIU referrals.
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