Predicting and Preventing Claim FWA with Advanced Profiling & Analytics

Webinar Recording

This session covered:

  • New and emerging challenges facing payers, how recent thinking can address those obstacles, and exemplar use cases
  • The need to progress beyond claim level analysis for FWA
  • How to apply predictive models and rich data benchmarks to better identify true outliers
  • The impact of analytics and profiling on FWA
  • The importance of leveraging predictive models, member/provider profiles, and rich multi-source data to identify FWA patterns, reduce errors, limit false- positives, and improve overall performance recoveries
  • Innovative approaches which leverage data analytics to drive behavior modification


Rodger Smith, SVP, Payment Integrity

Rena Bielinski, SVP, Strategic Accounts

Held on: September 15, 2016