Our cross-program capabilities allow us to create detection algorithms for fraud trends that develop in one industry and deploy them to all our partners. Bad actors often use the same techniques to defraud multiple industries. By “following” them across programs and industries, we improve our detection algorithms for all our clients.
Request A DemoPondera supports the federal government’s efforts to identify individual cases of fraud or abuse as well as trends, patterns, and clusters that may indicate existing or emerging problems.
Pondera’s system provides payment integrity services through pre-payment and post-payment analytics on providers, beneficiaries, claims, and members for both fee-for-service and managed care organizations
Maintain compliance and identify emerging fraud trends and schemes and built to help our clients ensure that limited program dollars are delivered to those who are qualified to receive them.
Maximization and audit selection for unemployment insurance systems and state & local tax programs.
Discover how analysts, investigators, and managers leverage Pondera’s system to improve efficiency and deliver results.
Pondera gives analysts the ability to view comprehensive program data, matched against third party data sources, and run through a series of procedural and predictive models.
Pondera helps investigators both in the field and in the office, to streamline workflows and make tracking cases easy through cloud integration.
Pondera’s CaseTracker™ allows managers to easily track and manage cases and case files, get detailed team performance metrics.
Pondera uses prediction algorithms and machine learning to predict, detect, and investigate fraud, waste, and abuse in healthcare and government programs.
Program data and 3rd party data are ingested and run through procedural and prediction models to detect previously known and unknown bad actors, schemes, and patterns.
Fully-integrated investigative case management imports cases from the fraud detection module or other sources and uses workflow and rules engines to route cases through your resolution process.
Pondera analyzes the fitness of your data specifically for its use in fraud detection analytics. This includes completeness, referential integrity, usability, and stability to identify specific problems in client and third-party source data.
Enable your team to protect your public benefits program from the risk associated with potentially fraudulent and improper payments with Thomson Reuters ID Risk Analytics.
Our industry experts are happy to provide an in-person or web conference overview that is customized to your organization and your needs.
80 Blue Ravine Road
Suite 250
Folsom, CA 95630
