Save millions of dollars in FWA while improving operational efficiencies
With an estimated $300 billion lost annually to healthcare fraud, waste and abuse, innovation is needed to mitigate fraud. Learn from a 2021 case study how Mastercard Healthcare Solutions™ AI technology, data scientists and FWA experts developed behavioral profiles to identify atypical services.
Watch this panel session to learn how AI:
- Identified over $239 million of previously unknown fraudulent claims, 2,700 high-risk providers and improved detection by 3X for one regional healthcare insurer
- Drives operational efficiencies across organizations
- Produces scores by levels of suspicion to enable SIUs to take action and save millions of dollars for their organizations
PRESENTERS

Tim McBride
Tim McBride
Director of Healthcare Product Development and Innovation, Mastercard
AHFI

Jessica Gay
Vice President and Co-Founder, Integrity Advantage
AHFI, CFE

David Cusick
Principal and Healthcare Technology Consultant
Milliman
Please contact sales@Brighterion.com should you wish to speak to an AI expert or request a copy of any of our eBooks, white papers or to view one of our pre-recorded webinars.
Save millions of dollars in FWA while improving operational efficiencies
With an estimated $300 billion lost annually to healthcare fraud, waste and abuse, innovation is needed to mitigate fraud. Learn from a 2021 case study how Mastercard Healthcare Solutions™ AI technology, data scientists and FWA experts developed behavioral profiles to identify atypical services.
Watch this panel session to learn how AI:
- Identified over $235 million of previously unknown fraudulent claims, 2,700 high-risk providers and improved detection by 3X for one regional healthcare insurer
- Drives operational efficiencies across organizations
- Produces scores by levels of suspicion to enable SIUs to take action and save millions of dollars for their organizations
PRESENTERS

Tim McBride
Tim McBride
Director of Healthcare Product Development and Innovation, Mastercard
AHFI

Jessica Gay
Vice President and Co-Founder, Integrity Advantage
AHFI, CFE

David Cusick
Principal and Healthcare Technology Consultant
Milliman