Fuzion’s Sentinel platform attacks fraud and abuse from many angles. It is an industry-leading framework for managing the auto-identification of claims at risk for potential fraud, waste, and abuse. Fuzion’s efforts to incorporate analytics and auto-identification of potentially fraudulent claims facilitates its ability to detect and mitigate fraud, waste, and abuse earlier in the claims lifecycle. In addition to fraud detection, Sentinel allows our fraud investigation team to view suspicious claims, manage investigation workflows, and track results. Much of the initial fraud review process is supported by proprietary technology, so an entire population of claims can be evaluated and resources can be focused on the most high-risk cases.

Why Sentinel?

  • Uncover fraud in its earliest possible stages, helping to minimize the litigation costs associated with prosecuting and recovering fraudulent payments.
  • Detect fraud while preventing costly false positives with fine-tuned indicators.
  • Track and visualize key performance indicators for an effective Fraud, Waste, and Abuse Mitigation Program.