FRAUD DETECTION & COMPLIANCE


Pondera’s Detection Solutions and Award-winning analytics are designed to help you detect potential fraud, waste, and abuse and maintain compliance with State and Federal regulations


Why Pondera for Fraud Detection?

Investigation-ready Leads

Pondera combines powerful analytics, special investigation services, and intuitive design to deliver the most important leads to your analysts and investigators.

Intuitive Analytics

Trends, patterns, clusters, and individual leads are delivered through easy to interpret graphs, link charts, tables, and other methods to clearly display the cause for suspicion.

Continuous Improvement

Pondera continually improves detection accuracy with machine learning and structured customer feedback processes to keep pace with emerging fraud trends and methods.

Advanced Analytics

Pondera employs advanced prediction and machine learning algorithms to identify outliers and fraud schemes.


Features

Profiles

Profiles

A comprehensive view of program participant's eligibility information, alerts, behaviors, and transactions

Scorecard

Scorecard

Stack-ranked lists of all program providers and participants based on their risk for fraud

Alerts

Alerts

Configurable notifications when a transaction or action violates a predetermined threshold

Super Search

Super Search

Powerful search capabilities to comb through program and public records data

Social Media Analyzer

Social Media Analyzer

Social media footprint to analyze unusual behaviors and previously unknown relationships

Claims Visualizer

Claims Visualizer

Temporal analytics display transaction behaviors over time

Messaging

Messaging

Pondera’s cloud based integrated messaging system enables teams to share cases, files, and profiles within the dashboard and allows team members to create notes for profiles, alerts and cases

Network Analyzer

Network Analyzer

Link charts connect program participants and display changes to the network over time


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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