Spot Fraud Faster, Stress Less
Instantly investigate claimants for fraud or abuse—no more tedious manual digging.
Sifting through endless records and cross-checking data by hand eats up your day. Missing red flags or making errors can have serious consequences, and the pressure to be thorough is relentless.
The hidden cost
What this is really costing you
Investigating potential fraud or abuse means combing through complex records, analyzing patterns, and verifying details across multiple systems. Manual review is slow, error-prone, and mentally exhausting. Even the most experienced specialists can overlook critical signals under heavy workloads.
Time wasted
1.7 hrs/week
Every week, burned on work an AI agent handles in minutes.
Money lost
$2,465/year
In salary, missed revenue, and operational drag — annually.
If you keep ignoring it
Continuing manually risks missed fraud, delayed case resolution, and burnout from repetitive, high-stakes work.
Return on investment
The math speaks for itself
Today — without agent
1.7 hrs/week
of manual work
With your AI agent
0.3 hrs/week
agent-handled
You save
$2,030/year
every year, reinvested into growing your business
Jobs your agent handles
What this agent does for you
Complete jobs, handled end-to-end — so your team focuses on what matters.
Flagging Suspicious Claims
You ask your agent to scan recent claims for patterns typical of fraud or abuse.
Verifying Document Consistency
You ask your agent to compare submitted documents for mismatched information.
Summarizing Case Red Flags
You ask your agent to review a case file and list any fraud warning signs.
Batch Reviewing High-Risk Cases
You ask your agent to quickly screen a backlog of flagged cases for urgent follow-up.
How to hire your agent
Connect your tools
Link your assessment software, document management, and patient registration systems.
Tell your agent what you need
Example: 'Review this claimant’s file and flag any signs of possible fraud or abuse.'
Agent gets it done
The agent returns a summary of findings, highlighting inconsistencies, red flags, and recommended next steps.
You doing it vs. your agent doing it
Agent skill set
What this agent knows how to do
Pattern Recognition
The agent analyzes claimant data to flag suspicious trends or inconsistencies for review.
Cross-Referencing Records
It rapidly compares information across multiple documents and databases to spot discrepancies.
Summarizing Findings
Delivers concise, actionable summaries highlighting potential fraud indicators.
Automated Checklist Review
Checks all required fraud criteria against case files to ensure nothing is missed.
Anomaly Detection
Identifies outlier claims or unusual activity that warrants further investigation.
AI Agent FAQ
Hire your AI agent
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