Codoxo Recognized as the Only “Highflier” Vendor in Fraud, Waste, & Abuse Analytics By Independent Research Firm

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Vendor evaluation report calls Highfliers “the most innovative service providers in the market and possess the resources to address evolving customer needs”

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“We’re pleased to be nominated as the only groundbreaking AI that tackles fraud, waste and abuse more effectively than traditional solutions while addressing the evolving payment integrity challenges faced by healthcare payers.”

Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers and agencies, has been named as the sole “Highflier” vendor in CB Insights’ Execution, Strength, and Positioning (ESP) Matrix of Fraud, Waste, & Abuse Analytics Companies for Healthcare and Healthcare Payers Tech. The ESP Matrix leverages data and analyst insight to identify and rank leading companies in a variety of technology landscapes.

Codoxo was among the select companies that CB Insights invited to participate in its October 2022 ESP evaluation, Fraud, Waste, & Abuse Analytics Companies for Healthcare and Healthcare Payers. In this evaluation, Codoxo was recognized as the only “Highflier” vendor. According to CB Insights’ ESP Matrix, Highfliers are “the most innovative service providers in the market and possess the resources to address evolving customer needs.”

Codoxo also was included in CB Insights’ October 2022 Payment Integrity Market Map of 166 companies making healthcare payments faster and more accurate. The report showcased the top 166 payment integrity vendors helping to combat the growing payment integrity demands due to the increase in healthcare services, resulting in an increased volume of claims and reimbursements for processing.

“Codoxo continues to be recognized for innovation as we work to stem rising costs in the U.S. healthcare system,” stated Dr. Musheer Ahmed, Codoxo’s Chief Executive Officer. “We’re pleased to be nominated as the only groundbreaking AI that tackles fraud, waste and abuse more effectively than traditional solutions while addressing the evolving payment integrity challenges faced by healthcare payers.”

Codoxo’s Forensic AI Platform is the only technology on the market today that allows self-learning AI to work with complex healthcare data to explain its decisions, helping increase trust and adoption among healthcare customers. The self-learning capability is designed to proactively identify new schemes significantly earlier than other AI and rules-based techniques and with greater accuracy. Codoxo’s technology has shown to capture 97% of exposure with others only capturing a fraction of that, translating to significant improvements in savings.

About Codoxo
Codoxo’s mission is to make healthcare more affordable and effective for everyone and serves
as the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse. The Codoxo Unified Cost Containment Platform helps clients manage costs across network management, clinical care, provider coding and billing, program integrity, and special investigation units. Our software-as-a-service applications are built on our proven Forensic AI Engine, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques. Our solutions are HIPAA-compliant and operate in a HITRUST-certified environment. For additional information, visit http://www.codoxo.com.

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Ronda Duncan
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