Acclaim
Using Al powered algorithm, Perfios developed Acclaim, a SaaS-based insurance platform that prevents fraud, waste, and abuse.
With this platform, insurers can automate the identification of claims that have been submitted for services that have not been provided to the patient like, detecting inflated costs on the invoice, uncovering diverted prescription medications, tracking offers or kickbacks that are received from patient referrals, and identifying medically unnecessary care that’s provided to the patients.
Acclaim
Using Al powered algorithm, Perfios developed Acclaim, a SaaS-based insurance platform that prevents fraud, waste, and abuse.
With this platform, insurers can automate the identification of claims that have been submitted for services that have not been provided to the patient like, detecting inflated costs on the invoice, uncovering diverted prescription medications, tracking offers or kickbacks that are received from patient referrals, and identifying medically unnecessary care that’s provided to the patients.
Solution Differentiators
Multiple Document Formats
Supports multiple document formats
Reduce Operational Costs
Ensures no data loss and reduces operational costs
Automate Identification of Claims
High success rate on Auto-Adjudication
Cost Effective
Low initial setup, scaling and maintaince cost