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What is NetMap?

Reveal the hidden connections and relationships among claimants, providers, and businesses to aid in identifying systemic insurance fraud. The advanced analytics provided by NetMap significantly enhance the Special Investigations Unit's ability to discover fraudulent networks within their claims. This software quickly analyzes claim information, public records, and other relevant data to reveal trends indicative of fraudulent activities. Equipped with powerful analytics and visualization capabilities, SIU analysts can rapidly pinpoint intricate patterns of deceit. By transforming what typically takes weeks of investigation into mere hours, NetMap not only boosts the efficiency of organized claims fraud investigations but also speeds up the transition from detection to referral, leading to a more effective strategy for tackling fraud. Furthermore, employing these analytical tools results in better-informed decision-making and contributes to improved outcomes across the insurance sector, fostering a more secure environment for all stakeholders involved.

What is NEMESIS?

NEMESIS is a cutting-edge AI-powered technology designed for anomaly detection, focusing specifically on uncovering fraud and inefficiencies. This innovative platform not only uncovers avenues for enhanced efficiency in your business management systems but also functions as a tailored enterprise solution that empowers business analysts to swiftly transform data into actionable insights. By leveraging artificial intelligence, NEMESIS tackles various challenges such as excessive staffing, inaccuracies in medical records, quality of care issues, and fraudulent claims. Its continuous monitoring capabilities reveal a spectrum of risks, from proactively identifying quality-related concerns to exposing areas of waste and misuse. Through the application of machine learning and AI, it adeptly identifies fraudulent behaviors and schemes before they can adversely affect your financial standing. Moreover, NEMESIS fortifies your capability to oversee spending and recognize budget variances, thereby maintaining a clear line of sight into waste and misuse. This holistic approach not only boosts operational efficiency but also cultivates a financial environment marked by greater accountability and transparency. In doing so, it positions your organization for sustainable growth and enhanced decision-making capabilities.

Media

Media

Integrations Supported

Integrations Supported

Amazon Web Services (AWS)
IBM Cloud
Microsoft Azure

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS
Windows

Supported Platforms

SaaS

Customer Service / Support

24 Hour Support

Customer Service / Support

Web-Based Support

Training Options

On-Site Training

Training Options

Documentation Hub
Online Training

Company Facts

Organization Name

Verisk Analytics

Date Founded

1971

Company Location

United States

Company Website

www.verisk.com/insurance/products/netmap-analytics/

Company Facts

Organization Name

Aviana

Date Founded

1994

Company Location

United States

Company Website

nemesisbyaviana.com

Categories and Features

Fraud Detection

Check Fraud Monitoring
Custom Fraud Parameters
For Insurance Industry
Internal Fraud Monitoring
Investigator Notes

Categories and Features

Anomaly Detection

Not specified

Data Analysis

Not specified

Fraud Detection

Not specified

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