DWC TECHNOLOGY
AI Powered Fraud Auditing
FraudAudit AI is an intelligent program integrity platform built to help agencies detect, investigate, and document fraudulent and improper claims with speed and precision. By combining advanced anomaly detection, configurable rules, and provider behavior analysis, the system surfaces high-risk activity and explains exactly why it matters, giving investigators clear, actionable insight.
Designed for real-world workflows, FraudAudit AI enables teams to flag claims for payment review, escalate cases for audit, schedule in-person investigations, and maintain fully documented case histories within a single, intuitive interface.
From initial detection to evidence reporting, every action is tracked, organized, and audit-ready.
Capabilities
- Anomaly Detection
- Configurable Rules
- Provider Behavior Analysis
- High-Risk Activity Identification
- Payment Review Flags
- Audit Escalation
- Investigation Scheduling
- Case Management
- Evidence Documentation
- Audit-Ready Case Histories