Qantev: Fraud, Waste, & Abuse

โดย QantEv

Smart platform for automated Fraud, Waste, & Abuse detection

Our AI-driven solutions deliver business-critical insights to insurers' operation teams to help them deliver on their tasks faster and generate high level of savings.
Our Fraud, Waste, & Abuse solution provides a modern tooling dedicated to automatically detecting over 75 types of Fraud, Waste, & Abuse, so that no anomaly slips through the cracks and that your due diligence is at the highest possible level. With the Qantev Fraud, Waste, & Abuse solution you can expect to automatically detect new patterns of fraud, reduce instances of false positives, accurately monitor provider performance, and improve the efficiency of your Fraud, Waste, & Abuse detection. Our external data partners allow us to enrich your claims & detect any possible instances of Fraud, Waste, or Abuse, so that you can save money and time while increasing productivity.
Right now, insurers are using our Claims Management solution to:
  • Remove human error from Fraud, Waste, & Abuse detection
  • Improve hit rate and increase detected cases of Fraud, Waste, & Abuse cases at the provider, individual, and network level
  • Save millions in losses from cases of Fraud, Waste, & Abuse
  • Estimate treatment pricing more accurately and with more confidence
  • Increase efficiency and capacity of SIU teams

Our solutions come equipped with Qantev Data Foundation, a premium service to clean, enrich, and refine your claims data using specialized AI techniques & algorithms dedicated to healthcare data.