The Leading End-to-End Solution for Payment Integrity, Cost Containment
& FWAE Prevention

Healthcare Insurers Risk Millions in Fraud, Waste, Abuse & Error (FWAE) Losses. Fast, confident detection & prevention is essential.

The HCFSPlatform® enables PI & SIU teams to investigate pre- and post-payment claims efficiently with AI-driven anomaly detection, a proprietary data fusion library and a robust rules engine. Trusted by industry leaders, it delivers end-to-end solutions for auditing, SVRS, medical record retrieval and more. Maximizing savings and preventing FWAE.

Minimize your Risk

The Smarter Way to Fight Healthcare FWAE

Claims

Reduction in False Positives

in Savings for Just 1 Client

Return on Investment (ROI)

Net Promoter Score (NPS)

National Payers Choose HCFS

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Voice of Our Clients

Meeting compliance and regulatory concerns with ease.

A dramatic increase in recoveries and a much better case management system.

We have a great team that supports us at HCFS.

Since using HCFS, we’ve seen an increase in our ROI thanks to greater identification of leads and an easy-to-use solution to track leads and cases.

HCFS has helped us in reducing the volume of false positives and giving us actionable leads to prevent fraud, waste, and abuse.

With HCFS we have improved ROI, better regulatory compliance, and accuracy of reporting to the states as result of data and activity tracking.

HCFS has provided greater team efficiency to process leads and cases, tremendous organization, very informative analytics and provider risk score to help prioritize alerts.