This product is used to typically analyze current claims names, addresses, previous claims, policies, providers, etc., to discover data that may be relevant or related to duplicate claims. This is a product which is primarily designed to identity and evaluate suspicious claims, including fraudulent claims. It is sold unbundled or bundled with other HCN software products. Claims are reviewed and scored as they were received initially and are also reviewed and scored by the system throughout the life of the claim. Typically the claims adjuster has no direct interaction with Veracomp.
Investigative users can access the system directly through an Internet-type browser.
Claims exhibiting fraud can be handled in several ways.