AI Solutions for Healthcare

As a Blues health plan, you are the pioneer of health insurance.

At Codoxo, we are the pioneers of AI innovation for healthcare cost containment.

Together, let’s pioneer a better future for a more affordable and effective healthcare system.

As a Blues health plan, you are the pioneer of health insurance.

At Codoxo, we are the pioneers of AI innovation for healthcare cost containment.
Together, let’s pioneer a better future for a more affordable and effective healthcare system.

At Codoxo, we are creating a movement to re-imagine healthcare cost containment. To impact the billions of dollars lost each year to fraud, waste, and abuse.

At Codoxo, we are creating a movement to re-imagine healthcare cost containment. To impact the billions of dollars lost each year to fraud, waste, and abuse.

Through our research-based and patented AI cost containment solutions, we are helping Blues health plans push the boundaries of what’s possible.

To change the landscape.

And, to build a brighter future that includes less FWA, improved payment integrity, and better outcomes for members.

Join us in our movement.

“Codoxo’s Forensic AI Platform is a game changer. AI is helping us identify, prevent, and stop potentially fraudulent activities earlier than ever.”

Kurt Spear, Vice President Financial Investigations and Provider Review, Highmark

Learn how Codoxo is helping Blues health plans
contain healthcare costs.

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

Audit Scope

For everyone across the health plan and PBM

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Audit Scope

For everyone across the health plan and PBM

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

SERVICES

We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.