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Health Care – Payers

Uncover Valuable Insights with Healthcare Payer Analytics

Health care is one of the fastest-changing industries today. Discover the value of healthcare payer analytics to drive financial performance, optimize quality of care, and manage risk in turbulent times. FICO’s healthcare payer solutions and decision management technology can help health care payers minimize errors, fraud and abuse.

Reducing health care insurers’ losses from claims fraud and abuse

  • Big Data Analytics

    FICO helps health care providers succeed by combining powerful, innovative software with predictive analytics to discover key signals hidden in Big Data

    Decision Application Development and Management for Health Care Payers

    Reducing health care insurers’ losses from claims fraud, abuse, and errors

  • Fraud & Security

    Incremental approaches to enable health care payers to address constantly evolving fraud needs as they develop and prevent loss and abuse.

    Enterprise Fraud and Security for Health Care Payers

    FICO’s predictive analytics are powerful in fighting fraud and abuse at every stage—before, hours or days, and months or years after payment while also effective at detecting billing errors and identifying systemic weaknesses and vulnerabilities like oversights in provider contracts and loopholes in benefit policies.

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