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FRAUDIQ
Claims Integrity Engine
AI Fraud Detection for Payers
Detect. Prevent. Protect.
97%Fraud Detection Rate
34%Reduction in Leakage
Real-timeRisk Scoring
Digital Tool
AI-powered
Cloud
Payer Solution
FRAUDIQ Claims Integrity Engine — AI Fraud Detection for Payers
AI-powered claims integrity solution that identifies, prevents, and reduces fraudulent claims before payout. Cuts claim leakage by up to 34% with 98%+ detection accuracy.
Plan Tier
Starter
Pro
Enterprise
Billing Cycle
Monthly
Annual (Save 20%)
Deployment
Cloud
On-Premise
Seats / Users
Up to 50 Users ▾
₹49,999
₹62,499
Save ₹12,500 (20%)
/ year · Inclusive of all taxes · 1 Year License · Auto-renewal option
⚡ Instant Access After Purchase
🔒 Secure Payment
🎧 Dedicated Support
🛡 Enterprise Grade Security
SOC 2Compliant
ISO 27001Certified
HIPAACompliant
DPDPReady
On PremAvailable
FHIRReady
Overview
FRAUDIQ uses advanced AI/ML models and payer rule intelligence (CGHS, PM-JAY, CAPF, ECHS and more) to detect suspicious patterns, coding anomalies, duplicate claims, upcoding, phantom billing and more — before claims are paid.
- ✓Maximize Financial Protection: Detect and stop fraudulent claims before payout
- ✓Improve Accuracy: Reduce false positives with intelligent risk scoring
- ✓Real-time Analytics: Actionable dashboards for fraud investigators
- ✓Seamless Integration: Works with your existing claims and core systems
Who Is It For?
Payers, TPAs, Government Health Schemes, Insurance Companies
Claims AuditorDetect high-risk claims faster
Fraud InvestigatorDeep-dive with AI-assisted insights
Compliance HeadEnsure adherence to regulations
Key Capabilities
AI Fraud Detection97% detection accuracy across multiple fraud types
Rule EnginePre-loaded 500+ payer rules & guidelines
Risk ScoringReal-time claim risk scoring & alerts
Case ManagementEnd-to-end case workflow & tracking
Analytics DashboardInteractive dashboards & drill-down reports
Audit TrailComplete activity log & audit readiness
Downloads
FRAUDIQ Brochure (PDF)
2.4 MBProduct Datasheet (PDF)
1.8 MBIntegration Guide (PDF)
1.2 MBSecurity Whitepaper (PDF)
3.5 MB
Need Help Choosing?
Our solution experts are here to help you find the right plan.
Trusted by Leading Healthcare Organizations
Infinity Care Hospital
ESIC Medical College
Park Group of Hospitals
Narayana Health
Medanta
Fortis Healthcare
Clinical Feedback / Deployment Notes
4.9
★★★★★
based on 23 reviews
Rajeev Mehta
Claims Head, Infinity Care Hospital
★★★★★
FRAUDIQ has helped us reduce claim leakage by 32% in just 3 months. The AI risk scoring is impressively accurate.
Reviewed on May 12, 2025
Anita Sharma
Compliance Manager, Park Group
★★★★★
User-friendly dashboard and excellent rule engine. Integration with our core system was smooth.
Reviewed on Apr 28, 2025
Dr. S. Khan
Medical Director, ESIC
★★★★★
A must-have for any payer or TPA. The fraud detection capability is industry-leading.
Reviewed on Apr 15, 2025