preventing fraud

Under the alliance, Emdeon will incorporate FICO Insurance Fraud Manager into its healthcare revenue and payment cycle transaction processing network in order to offer an enhanced fraud prevention solution to the 1,200 payers currently using Emdeon.

The parties believe the combination of Emdeon's healthcare data and central position in the healthcare workflow, complemented by FICO's sophisticated analytics, will result in an important solution to the marketplace.

Industry estimates place the cost of healthcare fraud, waste, and abuse at $200 to $600 billion annually--costs that are ultimately borne by health insurance payers and consumers. FICO and Emdeon identified millions of dollars in cost-saving opportunities when they examined claims with indications of fraud, waste, or abuse during a pilot study performed with de-identified data from just two U.S. states.