SMARTEST FWA DETECTION TOOL FOR INSURERS
SMARTEST FWA DETECTION TOOL FOR INSURERS
Hoverr goes beyond static rules to detect complex, evolving fraud patterns in real time using adaptive AI that continuously learns from claims data.
Hoverr goes beyond static rules to detect complex, evolving fraud patterns in real time using adaptive AI that continuously learns from claims data.
Compliance ready
Compliance ready
Compliance ready
Built to meet regulatory, audit, and governance requirements.
Built to meet regulatory, audit, and governance requirements.
Built to meet regulatory, audit, and governance requirements.
24/7 customer support
24/7 customer support
24/7 customer support
Always-on support to keep your claims operations running smoothly.
Always-on support to keep your claims operations running smoothly.
Always-on support to keep your claims operations running smoothly.
Reliable
Reliable
Reliable
Consistent performance you can trust across high-volume claim workloads.
Consistent performance you can trust across high-volume claim workloads.
Consistent performance you can trust across high-volume claim workloads.
How it works. It's simple!
How it works. It's simple!
How it works. It's simple!
1
1
Process claims
Process claims
Process claims
Any claim, any format. Hoverr handles claim documents of all kind.
Any claim, any format. Hoverr handles claim documents of all kind.
Any claim, any format. Hoverr handles claim documents of all kind.
2
2
Categorization
Categorization
Categorization
Hoverr organizes claims into subcategorizations for speed and efficiency.
Hoverr organizes claims into subcategorizations for speed and efficiency.
3
3
FWA detection
FWA detection
FWA detection
Hoverr scans claims using intelligent AI processes for 3x the traditional accuracy.
4
4
Formating
Formating
Formating
Hoverr formats output as desired and feeds directly into legacy claim systems.
Detect complex FWA typologies
Detect complex FWA typologies
Detect complex FWA typologies
Subtle upcoding
Routine cases billed as complex treatments.
Metadata manipulation
Minor edits or forged notes that seem legit.
Phantom procedure
Small, unnecessary add-ons hide inside legitimate claims
Subtle upcoding
Routine cases billed as complex treatments.
Metadata manipulation
Minor edits or forged notes that seem legit.
Phantom procedure
Small, unnecessary add-ons hide inside legitimate claims
Subtle upcoding
Routine cases billed as complex treatments.
Metadata manipulation
Minor edits or forged notes that seem legit.
Phantom procedure
Small, unnecessary add-ons hide inside legitimate claims
Subtle upcoding
Routine cases billed as complex treatments.
Review claims in an instance
Review claims in an instance
Review claims in an instance
Under 30s
Focus on high value investigations
Focus on high value investigations
Remove low-risk claims from manual review, freeing investigators to work on complex, high-impact cases.
Remove low-risk claims from manual review, freeing investigators to work on complex, high-impact cases.
Make better decisions, earlier
Make better decisions, earlier
Surface meaningful risk signals sooner, enabling earlier intervention and preventing costly downstream losses.
Surface meaningful risk signals sooner, enabling earlier intervention and preventing costly downstream losses.
Analyze Key Documents
Analyze Key Documents
Analyze Key Documents
Works with all kinds of health insurance documents
Works with all kinds of health insurance documents
Initial guarantee letter
Initial guarantee letter
Analyzes coverage terms, limits, and conditions to identify early risk signals before treatment begins.
Analyzes coverage terms, limits, and conditions to identify early risk signals before treatment begins.
Line by line analysis
Final guarantee letter
Final guarantee letter
Reviews final approvals and changes to detect inconsistencies between approved coverage and billed amounts.
Reviews final approvals and changes to detect inconsistencies between approved coverage and billed amounts.
Approval change detection
Reimbursement
Reimbursement
Breaks down submitted claims line by line to flag anomalies, duplicates, and unsupported charges.
Breaks down submitted claims line by line to flag anomalies, duplicates, and unsupported charges.
Anomaly detection
Top ups
Top ups
Examines additional charges against prior approvals to surface unjustified increases and late-stage cost inflation.
Examines additional charges against prior approvals to surface unjustified increases and late-stage cost inflation.
TRANSPARENT AI
Why transparency matters
In high-stakes claims decisions, unexplained AI creates risk. Transparency ensures decisions can be trusted, justified, and audited.
Legacy systems are black boxes
Hoverr is transparent by design
Hoverr is transparent by design, surfacing clear reasoning behind every risk signal. Teams always know what triggered a flag and why it matters.
Hoverr AI provides detailed explanations
TRANSPARENT AI
Why transparency matters
In high-stakes claims decisions, unexplained AI creates risk. Transparency ensures decisions can be trusted, justified, and audited.
Legacy systems are black boxes
Hoverr is transparent by design
Hoverr is transparent by design, surfacing clear reasoning behind every risk signal. Teams always know what triggered a flag and why it matters.
Hoverr AI provides detailed explanations
TRANSPARENT AI
Why transparency matters
In high-stakes claims decisions, unexplained AI creates risk. Transparency ensures decisions can be trusted, justified, and audited.
Legacy systems are black boxes
Hoverr is transparent by design
Hoverr is transparent by design, surfacing clear reasoning behind every risk signal. Teams always know what triggered a flag and why it matters.
Hoverr AI provides detailed explanations
TRANSPARENT AI
Why transparency matters
In high-stakes claims decisions, unexplained AI creates risk. Transparency ensures decisions can be trusted, justified, and audited.
Legacy systems are black boxes
Hoverr is transparent by design
Hoverr is transparent by design, surfacing clear reasoning behind every risk signal. Teams always know what triggered a flag and why it matters.
Hoverr AI provides detailed explanations
Get detailed claim breakdown
Get detailed claim breakdown
Get detailed claim breakdown
Line by line analysis
Pinpoint risk with full context
Pinpoint risk with full context
Break claims down to individual line items, highlighting exactly where anomalies and inconsistencies occur.
Break claims down to individual line items, highlighting exactly where anomalies and inconsistencies occur.
Strengthen expert review and challenges
Strengthen expert review and challenges
Equip investigators with clear reasoning and evidence to confidently question providers, vendors, or internal decisions.
Equip investigators with clear reasoning and evidence to confidently question providers, vendors, or internal decisions.
Human-in-the-loop
Human-in-the-loop
Human-in-the-loop
Full control
Decisions stay with your team
Decisions stay with your team
AI supports investigations, while final judgment and approvals remain firmly in human hands.
AI supports investigations, while final judgment and approvals remain firmly in human hands.
Built for compliance and auditability
Built for compliance and auditability
Ensure transparent, explainable decisions that stand up to regulatory scrutiny and internal audits.
Ensure transparent, explainable decisions that stand up to regulatory scrutiny and internal audits.
START DETECTING FWA WITH AI AGENTS
START DETECTING FWA WITH AI AGENTS
START DETECTING FWA WITH AI AGENTS
