Keep your members safe and lower costs with smart AI-powered FWA detection.
Precision FWA Detection™
Fraud, waste and abuse (FWA) is increasingly more challenging to identify and stop. Health at Scale’s Precision FWA Detection™ is designed to uncover high-confidence low-value care that is missed by existing utilization management and payment integrity systems to help you make consistent progress toward streamlining prior authorization and claims processing workflows.
Supercharge your FWA prevention
Scans activity across prior auth, pre-pay, post-pay – Stop FWA before payments are made or care is delivered
Integrate with existing systems via API or standalone UI – Meets your workflow needs
Supported by a team of experts – Health at Scale clinicians are available to support payment integrity and SIU review and recovery
Low-value care stopped in its tracks
3-7%
additional spend missed by existing payment integrity tools that is surfaced by Precision FWA Detection™ for avoidance and recovery
<200ms
response time for Precision FWA Detection™ supporting real-time automated prior auth and claims processing
95%+
flagged activity confirmed by SIU teams as FWA; with industry-leading low false positive rate