Enterprise level platform for insurers to aid in workflow management, data analysis, data integration, and more. This platform can be utilized for a variety of business units independently or jointly including Credentialing, Network, Provider Relations, Contracting, Medical Management, Quality Improvement Underwriting, Appeals & Grievances, Client Reporting, SIU, and Claims.
Healthcare Enterprise Metrics' sister company, Healthcare Fraud Shield, provides new and unique Fraud, Waste and Abuse (FWA) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud. Leveraging our comprehensive fraud experience, we deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient and compassionate healthcare.