Solutions


Pondera uses prediction algorithms and machine learning to predict, detect, and investigate fraud, waste, and abuse in healthcare and government programs


Fraud Detection and Compliance

Pondera ingests your program data, matches it against third party data sources, and then runs it through a series of procedural and prediction models to detect previously known and unknown anomalies and patterns.

FraudCaster<sup>®</sup>

FraudCaster®

Our core detection system, FraudCaster® (formerly Fraud Detection as a Service – FDaaS), helps our clients detect and prevent hundreds of millions of dollars in improper payments in Medicaid, Unemployment Insurance, the Supplemental Nutrition Assistance Program (SNAP), health plans, and other large government programs. Pondera’s award-winning software is supported by our Special Investigations Unit (SIU). The SIU employs certified fraud examiners, data mining experts, statisticians, and former government program integrity managers and law enforcement agents. Together, they design, deliver, and support our software which is literally “built by investigators, for investigators”.

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CaseTracker

Import your leads into our intuitive case management system where you can manage, collaborate, and close cases. Analyze and report on case loads and productivity.

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CaseTracker
DataResolver<sup>®</sup>

DataResolver®

Pondera’s proprietary data health analytics and vulnerability assessment improves data quality, reduces false positives, and improves fraud detection and compliance.

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By Role

Discover how analysts, investigators, and managers leverage Pondera’s system to improve efficiency and deliver results.

For Analysts

For Analysts

Pondera gives analysts the ability take program data, match it against third party data sources, and run it through a series of procedural and predictive models…

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For Investigators

For Investigators

Pondera helps investigators both in the field and in the office, to streamline workflows and make tracking cases easy through cloud integration…

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For Managers

For Managers

Pondera’s CaseTracker allows managers to easily track and manage cases and case files, get detailed team performance metrics…

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By Industry

Discover how Pondera’s system is used in the Federal Government, Healthcare, Social Services, and Tax & Labor to improve efficiency and deliver results.

Federal Government

Federal Government

Identify cases of fraud or abuse as well as trends, patterns, and clusters that may indicate existing or emerging problems.

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Healthcare

Healthcare

Analyze providers, pharmacies, members, claims and encounters for suspicious activities.

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Social Services

Social Services

Maintain compliance and identify emerging fraud trends and schemes.

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Tax & Labor

Tax & Labor

Maximize revenue by identifying improper payments and improving audit selection.

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Request a Demo

Our industry experts are happy to provide an in-person or web conference overview that is customized to your organization and your needs.

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