Provider Scope compares each providers’ claims and coding practices to their peers, identifies outlier behavior, and proactively engages providers to improve claim integrity and bring down pre-claim costs with a provider self-monitoring and communication portal.

Provider Scope allows payers and healthcare companies to efficiently reduce coding errors and influence healthcare costs prior to submission of claims while decreasing provider abrasion. Our healthcare provider cost management AI software is popular with Chief Medical Officers, Provider Education and Network teams at healthcare companies and agencies.

Provider Scope is built on our Forensic AI Platform and a part of the Codoxo Healthcare Integrity Suite. Our AI engine analyzes your claims data, detects practices that intentionally or unintentionally waste money, and builds connections across your data to provide actionable insights.

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