Fuzion’s Sentinel platform attacks fraud and abuse from many angles. It is an industry-leading framework for fraud, waste, and abuse program management. Fuzion’s efforts to incorporate analytics and auto-identification of potentially fraudulent claims, coupled with LTCi expert resources, facilitates Fuzion’s ability to detect and mitigate fraud, waste, and abuse earlier in the claims lifecycle. In addition to fraud detection, Sentinel allows our fraud investigation team to view suspicious claims, manage investigation workflows and client communications, and track results. 

Why Sentinel?

  • Easily access data and documents on all referrals and cases to optimize case management activities.
  • Efficiently manage investigation workflows and client communications.
  • Track and visualize key performance indicators for an effective fraud, waste, and abuse mitigation program.