4L Data Intelligence™

📊 New Kisaco Research Report: "Advanced AI in Healthcare Payment Integrity: A Provider-Centric Approach"   Kisaco Research released a new market research study on artificial intelligence in payment integrity on August 28, 2024. This study focuses on AI's role in transforming payment integrity. Key findings reveal the demand for provider-centric solutions that enable payers to see the FWA they know is there and prevent losses pre-payment. 🎰 Discuss insights and how patented, Integr8 AI Risk Detection™ technology increases pre-payment FWA detection by seeing provider behaviors and relationships in near real-time. Learn more and attend the seminar at HPRI West in Las Vegas, September 11-12. Visit us at Exhibit #2. #HPRIWest #4LDataIntelligence #PaymentIntegrity #ArtificialIntelligence #AI

Following yesterdays insightful sessions during the Healthcare Price Transparency Forum, the sessions at todays Artificial Intelligence Forum are just as interesting. Topics range from setting AI business objectives, understanding data and suggested guidelines for using AI ethically in the self-insurance industry. All great sessions to help business leaders implement AI strategies effectively and responsibly. THIS is where the business of self insurance gets done. Support SIIA through Membership | https://lnkd.in/e3hF2jnX

What is the most important FWA detection problem you NEED AI technology to solve? We want to hear from you.

THE PROBLEM: Fraudulent actors are constantly trying new ways to scam your health plan using advanced AI technology. And you can’t see it fast enough. THE PROBLEM IN A PICTURE: Complex fraud schemes and multi-party collusions can be seen clearly, in near real-time, pre-payment – with the right technology. THE SOLUTION: Introducing the 4L SIU Hub – powered by patented Integr8 AI Risk Detection™ technology. Make your first step each day a one-click access to comprehensive FWA leads that have been pre-investigated and packaged using patented Integr8 AI embedded in the 4L FWA Prevention solution. Get a demo at the 2025 SIIA AI Forum and see how you can manage a robust FWA prevention program in a TPA of any size. #4LData #SIUHUB #FWAPrevention #HealthcareIntegrity #SIU #HealthcareFraud #IntegrityFirst #Integr8AI #FraudPrevention #PaymentIntegrity #ProviderIntegrity #StopFWA #HealthcareAI #FraudDetection #SIIAAI2025 #ArtificialIntelligence

FIRST THINGS FIRST... What Are Your AI Objectives? Opening Session Moderated by Clay Wilemon Self-Insurance Institute of America 8:15 AM, February 20th | The Westin Indianapolis Join Paul Wann, COO at Health Plans Inc.; Paul Stock, President & COO at Verikai; Venkat Thiruvengadam, CEO at DuploCloud; and 4L Data Intelligence CEO, Clay Wilemon as they kick off the 2025 SIIA AI Forum. The topic is ‘First Things First – What Are Your AI Objectives?’ From preventing FWA and overpayments in self-insured plans, to optimizing TPA performance and turning underwriting into an agent for innovative plan optimization, this panel will explore when, and when not, to deploy AI solutions. And, of course, you can’t have an AI discussion without talking about data security, infrastructure and cloud computation. While you’re at the SIIA AI Forum, visit the 4L Data Intelligence exhibit to get a demo of the 4L FWA Prevention solution and reduce your total claims cost by 5% to 15% in year one. #4LData #SIUHUB #FWAPrevention #HealthcareIntegrity #SIU #HealthcareFraud #IntegrityFirst #Integr8AI #FraudPrevention #PaymentIntegrity #ProviderIntegrity #StopFWA #HealthcareAI #FraudDetection #SIIAAI2025 #ArtificialIntelligence

Energizing discussions at #HPRINashville on the transformative potential of AI in healthcare payment integrity! Our CEO Clay Wilemon moderated an engaging panel on "AI and Data Analytics in Payment Integrity" which explored critical themes around data governance, ethical AI implementation, and the evolution of FWA prevention strategies. Kisaco Research Thank you to our fellow panelists and attendees for the insightful conversations about building more effective, provider-centric approaches to payment integrity. Your perspectives are invaluable as we continue to Find, Fight and Prevent FWA Fast. Looking forward to putting these learnings into action!  #HealthcareInnovation #PaymentIntegrity #HealthcareFWA #ArtificialIntelligence

I am looking forward to sharing the stage at the 2025 Self Insurance Association of America (SIIA) AI Forum on February 20, 2025. The title of our panel is "First Things First…What Are Your AI Objectives?" We will take a deep dive into helping self-insured companies and third party administrators (TPAs) with how to think about deploying artificial intelligence based solutions including which ones, when, and what infrastructure is needed to maximize value. #SIIAAIForum #SIIA #AI #4LDataIntelligence

TRIAGE. ACTIVATE. CLOSE…cases faster with the new 4L SIU Hub's pre-investigated lead management workflow. The new 4L SIU Hub gives you powerful investigation tools with unprecedented efficiency to seamlessly detect more FWA leads, efficiently triage leads and activate good cases. And every case has one-click access to empower you and your investigators to quickly and efficiently research cases in one place. Preview the new 4L SIU Hub at HPRI 2025 in Nashville. Visit Exhibit B25 to share your insights and enter our raffle to WIN A FREE Breville Barista Touch Espresso and Cappuccino maker.

What if you had comprehensive Integr8 AI™ powered visibility to ALL your FWA risk every potential every morning? And what if that visibility did not overwhelm you with leads but was delivered in pre-packaged investigation folders with one-click decision-making ability on whether to open a case. The new 4L SIU Hub aggregates all the potential FWA activity for every provider every day across eight (8) different Integr8 AI™ powered modules from 5.8 million CMS-related edits to the most complex multi-party provider schemes. Start your day with clear priorities and maximum impact. Start with the new 4L SIU Hub. Preview the new 4L SIU Hub at HPRI 2025 in Nashville. Visit Exhibit B25 to share your insights and enter our raffle to WIN A FREE Breville Barista Touch Espresso and Cappuccino maker.

Own your 8AM, every day! The new 4L SIU Hub transforms your morning workflow into a powerful command center. One-click after your morning coffee gives you single-screen visibility to more FWA leads than you have ever had - case leads that are packaged into pre-investigated folders with one-click access to everything from millions of straight forward CMS-related edits to complex multi-provider schemes. And one-click gives you and your investigators access to comprehensive provider integrity data for each and every provider involved. Think of it as an easy tool for 30-second, see everything you need to triage a potential case for investigation. Preview the 4L SIU Hub at HPRI 2025 in Nashville. Visit Exhibit B25 to share your insights and enter our drawing to WIN A FREE Breville Barista Touch Espresso and Cappuccino maker. Because your morning priorities deserve premium tools—for FWA prevention and your 8 AM coffee ritual. #HPRI2025 #4LData #SIUHUB #FWAPrevention #HealthcareIntegrity#FWAPrevention #SIU #HealthcareFraud #IntegrityFirst #Integr8AI #FraudPrevention #PaymentIntegrity #ProviderIntegrity #StopFWA #HealthcareAI #FraudDetection