Sentinel Overwatch: Proactive Fraud Prevention for Healthplans
Healthcare fraud is a pervasive issue, costing the industry billions annually and compromising member care and satisfaction.
Traditional "pay and chase" methods are no longer sufficient in combating this evolving threat. At Meerkat Analytica, we understand the critical importance of proactive fraud prevention for healthplans. Our proprietary Sentinel Overwatch solution leverages advanced algorithms and real-time data analysis to detect anomalies in incoming claims, enabling intervention prior to payment approval.
With Sentinel Overwatch,
you gain:
Dynamic fraud detection that adapts to emerging tactics
Tech-enabled prevention powered by machine learning
Customized algorithms tailored to your unique data landscape
Comprehensive analysis across providers, codes, and trends
Actionable insights for informed payment decisions
Our team of experts works closely with your organization to operationalize the data model, providing daily outputs and anomaly reports.
By shifting from reactive to proactive, Sentinel Overwatch empowers you to safeguard your financial integrity, improve member outcomes, and maintain accurate risk assessments. Partner with Meerkat Analytica and take a stand against healthcare fraud.
