INSURANCE SOLUTIONS

4L Data Intelligence insurance solutions, powered by Intetgr8 AI technology, are designed to improve data, provider, payment and decision integrity in a way that helps insurance companies deliver better service at a lower cost by stopping fraudulent, wasteful and abusive claims before payments are made. And 4L Data solutions are real-time, easy to implement and over-the-top, so you don't need to rip-and-replace legacy data platforms or dramatically change workflows.

4 layers of integrity to lower insurance costs,
improve service quality and increase customer access

Health-step

DATA INTEGRITY

Delivering easy and cost-effective access to real-time service provider, claimant, related-party and claims data that helps insurers improve data management accuracy and lower data management costs

Health-step

PAYMENT INTEGRITY

Delivering real-time dynamic insight into structured and unstructured claims data, service provider behaviors, trends, patterns, outliers, provider and claimant relationships and text analytics to detect and prevent fraud and over-payments before problem claims are paid

Health-step

PROVIDER INTEGRITY

Delivering real-time service provider integrity data from hundreds of sources to help insurers understand service provider, claimant and related-party behaviors and make decisions to improve service and payment integrity

Health-step

DECISION INTEGRITY

Cost-effectively aggregating, integrating and analyzing multiple data sources in real-time to deliver intelligent and comprehensive information to support efficient, timely and accurate service and payment decisions

4L DATA INSURANCE SOLUTIONS

FWA PREVENTION & RECOVERY

Solving The Challenges Of:
  • Out-of-control insurance costs
  • Real-time, pre-adjudication fraud detection and prevention
  • Stopping over-payments before claims are paid
  • Constantly changing service provider behaviors and relationships
  • Detecting complex service provider, claimant and related-party collusion
Immediately & Continuously Delivering:
  • Complex service provider, claimant and related-party collusion detection
  • Pre-adjudication fraud prevention
  • Reduced need and cost of pay-and-chase recovery
  • Higher fraud detection for recovery collections
  • Fraud detection and prevention that integrates provider behavior with claims review
  • Real-time collusion mapping
  • Real-time unstructured trends, patterns, behaviors, relationships and outlier detection
Powered By:
  • Patented Integr8 AI powered real-time integrated service provider behavior and claims editing technology
  • Continuous monitoring of service provider integrity and behaviors to reduce upfront and ongoing risk
Take Control. Reduce out-of-control FWA costs.
Streamline provider data accuracy, integrity and credentialing.
  • Schedule a FREE FWA loss detection and collusion assessment using your data
  • Schedule a FREE 5-day provider data accuracy and integrity cleanse*
  • Credential 5 providers FREE using our automated platform*
*One time offer per organization. Limited to health systems, IDNs, Health Plans, PPOs, TPAS or credentialing services companies.