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®
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”.
Learn MoreCaseTracker™
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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DataResolver®
Pondera’s proprietary data health analytics and vulnerability assessment improves data quality, reduces false positives, and improves fraud detection and compliance.
Learn MoreBy Role
Discover how analysts, investigators, and managers leverage Pondera’s system to improve efficiency and deliver results.
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…
For Investigators
Pondera helps investigators both in the field and in the office, to streamline workflows and make tracking cases easy through cloud integration…
For Managers
Pondera’s CaseTracker™ allows managers to easily track and manage cases and case files, get detailed team performance metrics…
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
Identify cases of fraud or abuse as well as trends, patterns, and clusters that may indicate existing or emerging problems.
Healthcare
Analyze providers, pharmacies, members, claims and encounters for suspicious activities.
Social Services
Maintain compliance and identify emerging fraud trends and schemes.
Tax & Labor
Maximize revenue by identifying improper payments and improving audit selection.
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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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