Case Study: a Fortune 100 healthcare client detects fraud and saves $2.3B with Concord AI

Fortune 100 Healthcare Client saves $2.3B with Concord’s AI fraud detection

The customer, a Fortune 100 healthcare client, was struggling to detect and quantify the damages caused by fraudulent provider activities. Concord Europe was engaged to identify these in-network providers involved in fraud using their AI Cloud platform.

Concord Europe's solution developed an analytics application that analyzed internal and external data using NLP, ML, and deterministic approaches. This resulted in the identification of 612 questionable providers, saved $2.3B USD in potential damages, cleaned up 500+ malicious providers, and improved data reliability by 250%.