The WhiteHatAI Centaur system is a flexible, patent-pending, automated healthcare fraud detection software platform that becomes a forensic tool by ingesting electronic healthcare claims. The system quickly identifies medical abuse and fraudulent healthcare charges and errors regardless of complexity. The system lists suspect issues and provides a summary framework which can be used by an individual, with or without a healthcare background or clinical expertise, to dispute, eliminate and re-negotiate the presented charges.
Advanced Healthcare AI
The WhiteHatAI Centaur is true AI driven software that becomes a forensic tool examining every line of every claim quickly and accurately while learning from all interactions with a skilled professional.
Force Multiplier
The Centaur amplifies the impact of subject matter experts, cost effectively solving skilled labor shortages, and dramatically increasing the effectiveness of skilled healthcare professionals.
Dashboard Analytics
The Centaur lists suspect issues and provides a flexibility summary framework to be used by an organization to confirm, dispute, eliminate or re-negotiate presented charges.
All evidence associated with suspect charges are presented by the WhiteHatAI Centaur system within an easy to understand summary and visual dashboard. The WhiteHatAI Centaur system continuously learns from human interaction and its ability to detect healthcare fraud, waste and abuse becomes more efficent with every example of medical billing abuse it encounters.
Commercial Payers
The Centaur and its powerful AI engines work around the clock to keep up with criminal activity, adjust to new rules and guidelines while processing millions of claims and preventing hundreds of millions of dollars of potential fraud, waste and abuse.
Auditing Companies
With the Centaur, your company can shift from a rudimentary rules-based approach to a true AI solution. Investigate every one of your client’s claims while expanding the efficiency of your existing trained professionals to audit more claims in less time immediately for higher profits.
Medicare/Medicaid
The Centaur provides a true AI solution and targeted deep subject-matter expertise to assist with appropriate reimbursement, preventing billions of dollars of fraud, waste and abuse while uncovering data and spotlighting potential criminal activity for prosecution.
Self-Insured
Self-Insured payers are under additional pressure to meet financial obligations without the same type of auditing resources of traditional payers. With the Centaur, self-insured processing partners can be supplied with the same powerful fraud AI tools as other payers.