Felix Payor Protection

Healthcare costs are skyrocketing, including the administrative layer that includes insurance companies and ACOs.  Ensure that payments are being made appropriately and detect potentially fraudulent billing behavior with our AI engine keeping constant watch over the necessary data. 

Discover How Felix Payor Protection can help in identifying cost outliers compared to their clinical cohorts as well as detecting billing fraud.

Features

feature image

Cost
Outliers

Identifies the standard deviations and reduces cost

feature image

Fraud
Detection

Reduces the chances of un-necessary tests

feature image

Streamlined
Review

Streamlines the patient review as per standard procedures

feature image

Dashboard
View

Standard dashboard view of data

Use Case

case study

Payor Protection Plan

Physicians and other clinical care providers are entrusted with their patients’ health. But a small fraction can cause serious financial impacts due to unnecessary tests, DME and upcoding.

More Info