Preemptive Fraud, Waste and Abuse Defense for Diverse Care Services

Ensuring integrity and accuracy in specialized, high-volume healthcare areas

Dashboard
Total fraud, waste and abuse identified for our clients
$1.8 Billion
Total
$600 Million
Homecare
$330 Million
Pharmacy
$55 Million
Therapy
$16 Million
Dental
$12 Million
Ambulance
$6 Million
Vision
$4 Million
Workers' Compensation

Ready To Deploy Configurable Edits

List of configurable edits to satisfy in-house policies, regulatory changes and unique contracts

  • Provider exclusion list
  • 24 hour rule
  • Impossible day

Real Time Payor Dashboard For Analytics

Precise pre-pay claim flagging using our AI models and analytics visible on a dashboard

Analytics dashboard

AI Enhanced Expert Claim Audit

Results up to 70% faster with claim review by expert clinicians, coders and subject matter experts using AI to deliver results

Analytics dashboard

Secure by default

HITRUST, HIPAA and PIPEDA compliant

Low Cost, High Dollar Health Services Are Our Speciality

Handle all types of supplemental health claims

- Pharmacy - Dental - Optical - Home Health - Personal Care - Therapy - Ambulance - Workers' Compensation - DME - Chiropractic
- Pharmacy - Dental - Optical - Home Health - Personal Care - Therapy - Ambulance - Workers' Compensation - DME - Chiropractic

US and Canada Claims Supported

Analyze claims with codes (such as DIN, NDC, CPT, OHIP, etc) from both Canada and US

Contact our team to explore your saving opportunities

Have your questions answered and get acquainted with our products.

  • Learn how to increase payment accuracy and lower healthcare expenditure
  • Explore use cases for your payment integrity team
  • Get any questions answered about our products

Email us at sales@metadigital.tech or reach out on LinkedIn


Payers have identified $1.8 billion in fraud, waste and abuse using MetaDigital.