Integrate AI

Healthcare Solutions

4L Data Intelligence healthcare solutions are powered by patented Integr8 AI™ technology in combination with our proprietary healthcare provider database of 7.9M NPI's. All solutions are cloud-based and integrate with any workflow to get immediate quality and financial improvement without ripping-and-replacing legacy systems.

4L Fwa All Providers. All Claims.
4l PL 7.9 Million NPIs
4l FWA
Provider Integrity Edits  |  Adaptive Claims Edits
Billing Behavior Analytics  |  Provider Scheme Analytics
Use the power of Integr8 AI™ to find, fight and prevent fraud, waste and abuse fast with the revolutionary provider-centric FWA approach.
  • Detect the fraud, waste, and abuse you can't see now with claim-centric approaches
  • Rapidly detect and prevent FWA at five points across the claims management workflow
  • Reduce overall cost-per-claim
  • Dynamically and continuously understand provider behaviors, relationships, and outlier status
  • Continuously and automatically identify and accurately pay 'good' providers
Int Flags

Prevent FWA At 5 Points Across Claims Workflow

The only patented fraud, waste, and abuse prevention technology that automates the power of Integr8 AI to deliver dynamic, fast, actionable, and accurate provider-centric detection and documentation at five points across the claims and network management workflow.

5 pointv
Int Flags

Find and Fight Fraud Fast.TM

The 4L FWA Prevention solution gives fraud leaders and their teams the power of Integr8 AI to solve each of these three big problems:
  1. They can't find fraud and collusion fast enough.
  2. Investigations take too long.
  3. True positive rates are not high enough.
  • Detect the fraud and collusion you can't see now with claim-centric approaches.
  • Rapidly detect and prevent fraud at five points across the claims management workflow.
  • Automate SIU-in-a-box detection and documentation to enable rapid action.
  • Increase fraud lead generation and true positive rates with patented technology platform.
4l FWA
Provider Data Management
Provider Integrity Maintenance
Continuous Monitoring and Alerts
Ninety-three continuously updated and validated provider demographic and integrity data elements, combined with the power of Integr8 AI™, enables continuous provider credentialing and claims analysis to elevate data, provider, and payment integrity.
  • Proprietary provider data base has 93 unique provider data elements for 7.9M NPIs
  • Each unique provider data element is double or triple source validated
  • All provider data elements are independent of provider-provided data to ensure integrity
  • Continuous provider data monitoring enables near real-time alerts on critical data changes
  • Easy to use, permission-based dashboards makes managing provider data easy for staff
  • Snowflake enables easily accessible weekly or monthly updated master data file access
Int Flags
Take Control. Reduce out-of-control FWA costs.
Streamline provider data accuracy, integrity and credentialing.
  • Schedule a FWA loss detection and, fraud and collusion demonstration using your data
  • Schedule a provider data accuracy and integrity demonstration using your data
*One time offer per organization. Limited to health systems, IDNs, Health Plans, PPOs, TPAS or credentialing services companies.