BAE Systems Applied Intelligence’s NetReveal solution is a leader in pre-payment fraud, waste, and abuse detection. NetReveal leverages your data, including Fee for Service, Managed Care, provider enrollment, member enrollment, public data, pharmacy data, third-party data or exclusion lists, and provides a single holistic view. Using leading edge analytics, advanced social networking analysis and predictive modelling, claims are risk scored either in real-time, pre-payment, or in batch, post-payment. BAE Systems’ COTS solution gives you 360° oversight of your MCO and FFS programs as well as provider and members either in a hosted or SaaS model.
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