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Healthcare Fraud Shield

Ownership
Private
Employees
~75
Stage
Commercial
Preclinical
Phase 1
Phase 2
Phase 3
Approved

Healthcare Fraud Shield General Information

Healthcare Fraud Shield provides an integrated SaaS platform using artificial intelligence, proprietary data fusion, and expert rules to detect and prevent healthcare fraud, waste, abuse, and error. Their solutions deliver measurable ROI by reducing false positives in claim reviews by up to 98%, improving efficiency of special investigation units (SIUs), and supporting both pre-payment and post-payment workflows. The platform is trusted across Medicaid, Medicare, commercial plans, pharmacy benefit managers (PBMs), and other payer organizations.

Contact Information

Website
Primary Industry
Biomedical IT and Biomedical Data Platforms
Corporate Office
Chesterfield, Missouri
United States

Drug Pipeline

No pipeline data available

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Key Partnerships

NHCAA (National Health Care Anti-Fraud Association), ACAP (Association for Community Affiliated Plans), AAPC local chapters

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Healthcare Fraud Shield Funding

No funding data available

Early Stage VC (Series A)04-Jun-2020$38MCompletedPhase 1
Seed Round12-Feb-2019$8.5MCompletedStartup

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Healthcare Fraud Shield Financial Metrics

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OverviewDrug PipelineTechnologiesPartnershipsFundingCompetitorsAnalysisPatentsLicensing Deals