Healthcare Fraud Shield offers the FWAShield™ suite, a next-generation SaaS platform that uses proprietary data, artificial intelligence, rules and algorithms to identify fraud, waste and abuse for healthcare payers. The platform covers both pre-payment and post-payment workflows and combines medical and pharmacy claims, and includes workflow and productivity tools to boost investigator efficiency. Its AI models and analytics are continuously updated by an internal team of FWA experts. Customers who have implemented the FWAShield suite have realized millions of dollars in savings and reported high ROI. The company plans to accelerate investment in proprietary analytics, artificial intelligence, new products (including AIShield™ and PreShield™) and customer service to expand deployments across insurance plans covering millions of lives. Leadership continuity is intact with Mike Moseler (President & CTO), Tony Rademeyer (EVP Sales) and Karen Weintraub (EVP SIU) continuing to lead the business.

Total raised

$50M

Funding rounds

1

Latest round

Equity

Latest activity

Jan 2021