For Medicaid program integrity, Medicaid Fraud Control Units (MFCU), or private insurance, Torch blazes uncharted trails in FWA detection and investigation via data analytics, artificial intelligence, and integrated case management.
From investigations to audits to data analysis to improving economic efficiencies, Torch is designed to accelerate and simplify everyday jobs, and enrich deep explorations for
users of any workstyle, role or skillset. It makes everything you do faster, easier and smarter. Torch lights the path from the identification of suspicious billing behaviors to case closure.
Torch is an out-of-the-box, COTS solution enabling rapid implementation and deployment.
State-of-the-art system to detect, investigate, escalate, and mitigate FWA.
Ingests and fuses data from multiple sources.
Transform manual review to instant answers.
Automatic bi-directional integration between data analytics and case management.
Data is prepopulated to optimize resources.
Configurable workflows for all users.
Advanced analytics for electronic visit verification.
Track providers’ claimed visits.
Automatically be alerted to impossible days and more.
Proprietary tools to discover suspicious providers and fraud schemes.
Interactive, dynamic reports from nearly every screen.
Improved productivity and efficiency.
