Not all AI is the same.
Codoxo’s proprietary AI solution was built from the ground up specifically for healthcare. Its patented technology is unlike any other on the market and is proven to deliver results, fast.
Not all AI is the same.
Codoxo’s proprietary AI solution was built from the ground up specifically for healthcare. Its patented technology is unlike any other on the market and is proven to deliver results, fast.
Leading AI Solutions for Unified Cost Containment.
Put an end to siloed teams and a lack of data transparency. Codoxo provides a single, integrated platform for cost containment teams—from operations, SIU, payment integrity, clinical, and compliance to provider services.
One platform used across all teams enables deeper collaboration and transparency by using the same data and accessing the relevant information when its needed.
The Unified Cost Containment Platform includes a suite of products built on top of our proprietary AI engine to maximize savings across the payment spectrum:
PAYMENT SCOPE
for payment integrity
FRAUD SCOPE
for fraud, waste, and abuse
PROVIDER SCOPE
for provider coding and billing education
AUDIT SCOPE
for audit case management & workflow
NETWORK SCOPE
for network integrity & contract
management
CLINICAL SCOPE
for prior authorization acceleration
OUTSOURCED VIRTUAL SERVICES
to enhance and augment your
teams
Proven Performance
PROVEN CAPTURE
OF POST-PAYMENT
EXPOSURE
AVERAGE ROI
WEEKS AVERAGE
TIME TO GO LIVE
The Codoxo Difference.
Deep Academic
Roots
Developed with the expertise, discipline and research rigor of its PhD founder, Musheer Ahmed.
The most
Effective AI
Not all AI is created equal. Codoxo uses the most effective and proprietary AI technology to identify fraud schemes faster and with greater accuracy to stay ahead of ever-evolving threats.
Constant
Innovation
We invest significant dollars in research and development and have a large internal team of research scientists who constantly push the boundaries of what is achievable using the latest AI technology.
Proven
Performance
15:1 ROI/$500M in identified savings.
Speed to
Implementation,
Detection & Insights
Threats to your bottom line evolve quickly. That’s why Codoxo moves faster. Our solutions can be implemented in weeks instead of months. Moreover, Codoxo’s intuitive user-friendly interface provides actionable information that enables productive sleuthing and identification of suspect trends quickly.
“Part of the reason we were really excited about the platform was the rate at which it identifies new issues. It reduces the time lag between scheme emergences and catches up with rules-based updates. I have seen that trend happen without human interaction.”
Health Plan SIU Director
