X1 Fraud Detection Engine
Flag fraud before payout. Stop leakage and catch emerging abuse automatically, with real-time fraud data from your organization, visualized in one place.
Prevent
up to
$1.68M
In Annual FWA Loss
Recover
up to
50-70%
Of Silent Leakage
85%
Vs. Manual Review
Faster
Resolution
0
System Swaps
Introducing:
X1 Fraud Detection Engine
Flag fraud before payout. Stop leakage and catch emerging abuse automatically, with real-time fraud data from your organization, visualized in one place.
$1.68M
To be Prevented
In Annual FWA Loss
50-70%
Of Silent Leakage
Recovered
85%
Faster Resolution
vs. Manual Review
0
System Swaps
Fraud is eating your margins. X-1 stops it at the source.
Fraud is eating your margins. X-1 stops it at the source.
Payers and TPAs lose millions annually to mis-coded, upcoded, or duplicate claims that slip through rule engines. X-1 sits post-intake, pre-payout, scanning every claim for hidden patterns and visualizing fraud trends in real time. No tuning, no rules required.
Payers and TPAs lose millions annually to mis-coded, upcoded, or duplicate claims that slip through rule engines. X-1 sits post-intake, pre-payout, scanning every claim for hidden patterns and visualizing fraud trends in real time. No tuning, no rules required.
Payers and TPAs lose millions annually to mis-coded, upcoded, or duplicate claims that slip through rule engines. X-1 sits post-intake, pre-payout, scanning every claim for hidden patterns and visualizing fraud trends in real time. No tuning, no rules required.
Highlights:
• Flag high-risk CPT + modifier combos using pattern recognition
• Catch provider behavior shifts before they escalate
• Visualize flagged claims and trends across your org
• Immutable logs for every action taken
Featured Modules
PatternShield Module:
Automatically flags fraud signals across CPT, modifier combos, provider volume shifts, and behavioral anomalies, no pre-set rules required. PatternShield continuously learns from your historical claims and adapts in real time to catch emerging fraud tactics before they’re payouts.
Kitchen:
Every action taken on a claim, flag, review, override, escalation, is automatically timestamped, locked, and stored in a tamper-proof audit ledger. This gives payers airtight defensibility for every rejected payout and a clean record for regulatory audits.
Bedroom:
Live dashboards break down flagged fraud by facility, claim type, region, and time, so you don’t just catch fraud, you see how it spreads. Identify bad actors, pressure points, and savings over time. All without a BI team.
PatternShield Module:
Automatically flags fraud signals across CPT, modifier combos, provider volume shifts, and behavioral anomalies, no pre-set rules required. PatternShield continuously learns from your historical claims and adapts in real time to catch emerging fraud tactics before they’re payouts.
LedgerLock Module:
Every action taken on a claim, flag, review, override, escalation, is automatically timestamped, locked, and stored in a tamper-proof audit ledger. This gives payers airtight defensibility for every rejected payout and a clean record for regulatory audits.
Riskview Module:
Live dashboards break down flagged fraud by facility, claim type, region, and time, so you don’t just catch fraud, you see how it spreads. Identify bad actors, pressure points, and savings over time. All without a BI team.
Fraud moves fast. You can move faster.
Fraud moves fast. You can move faster.
X-1 flags suspicious claims before payout, with real-time detection, traceable logic, and zero disruption to your stack. Launch in under a week. No infrastructure changes. No steep learning curve. Just cleaner claims, less leakage, and airtight audit trails from day one.
X-1 flags suspicious claims before payout, with real-time detection, traceable logic, and zero disruption to your stack. Launch in under a week. No infrastructure changes. No steep learning curve. Just cleaner claims, less leakage, and airtight audit trails from day one.