Fighting fraud, waste, & abuse with pattern-based analytics
Opera Solutions’ FWA Radar enables healthcare payers to detect illicit activity other systems miss. It leverages pattern-based analytics to better find fraud, waste, and abuse in insurance claims — whether they’re from professional criminals or just opportunistic physicians. FWA Radar is a SaaS-based, IT-light approach that works quickly and proactively to address errors and fraudulent claims before a claim is paid — and continues its work post-payment, using its extensive case management abilities.
Learn how advanced analytics can help payers mitigate fraud and reduce waste and abuse in insurance claims.