FICO, a provider of analytics and decision-management technology, has released Insurance Fraud Manager 3.2 (IFM), which scores claims from independent diagnostic testing facilities that provide services such as MRIs and CT scans.
FICO says that by analyzing medical, pharmacy and dental claims in real time, IFM's predictive models catch fraudulent and erroneous claims before they are paid, saving payers millions and minimizing the pay-and-chase syndrome.
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