WhiteHatAI Announces Artificial Intelligence Driven Healthcare Payment Integrity Platform

An innovative healthcare AI software company, WhiteHatAI ,  announced the release of the Centaur Software platform for detecting Fraud, Waste, and Abuse in healthcare transactions.

Peter Ransome, CEO/President, stated, “Artificial Intelligence has allowed for incredible innovation across the healthcare landscape and our team of industry veterans are at the forefront of that innovation. The Centaur platform places advanced artificial intelligence in the hands of the healthcare industry in an easy to deploy, cost-effective package. Most impressively, the Centaur learns and becomes ‘smarter’ over time as the system interacts with data and users. The WhiteHatAI Centaur provides payers, providers, employers, and auditing firms with a platform that rapidly and accurately detects claim FWA problems pre-payment or post.”

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Ransome went on to say, “As we are launching the WhiteHatAI Centaur for claims pre-payment auditing, WhiteHatAI is also releasing a powerful version of the Centaur for detecting Opioid Fraud, Waste, and Abuse. We chose to accelerate the release of the opioid system due to the seriousness of the crisis and are busy building our ecosystem of complementary partners.”

Fraudulent and inaccurate healthcare claims cost insurance payers $650+ billion annually. Prompt payment regulations have historically prevented the payer’s ability to fully review claims for fraud, waste and abuse prior to payment. This situation produces a post-payment “pay and chase” collection scenario where payers are forced to recover incorrect payments. 90+% of these incorrect payments are never recovered. The healthcare industry carries this tremendous cost burden, ultimately impacting all Americans and our accessibility to healthcare and our quality of care.

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The WhiteHatAI Centaur software platform is a true game changer. With an advanced AI fraud-detection system, healthcare payers can now examine every claim and claim line item pre-payment. Pre-payment auditing places WhiteHatAI’s clients in a position to reduce and eliminate costly and problematic “pay and chase” scenarios.

WhiteHatAI Centaur is a deep learning, unique multi layered AI forensic tool built to complement existing systems and workflows that can be deployed either on-site or via the cloud.

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