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The FICO® Payment Integrity Platform gives healthcare payers an enterprise-class solution to reduce claims fraud, waste and abuse (FWA). It leverages FICO’s proven leadership in adaptive predictive analytics by using machine learning technology to rapidly score every claim and provide comprehensive payment integrity and compliance. Combined with FICO and customer driven edits/rules, the Payment Integrity Platform is a fully integrated solution with best-in-class user interface design for ease of use, rapid discovery, behavioral analytics, customer driven rules and support of all claim types.
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