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.
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 More