Fraud, waste & abuse detection

Catch what individual review misses.

Duplicate billing, upcoding, and diagnosis mismatches pass through unseen when detection depends on the memory of individual assessors. Ajé looks for the patterns across your whole book — and flags them at the point of decision, before the money leaves.

What it does

Pattern detection at portfolio scale.

Cross-provider patterns

Behaviour that looks normal on a single claim stands out across a provider's history and against peers. Ajé surfaces the outliers that no single reviewer would connect.

Duplicate and upcoding checks

Duplicate submissions and claims coded to a higher-cost service than delivered are detected systematically, not by chance.

Diagnosis-to-procedure mismatches

Procedures and prescriptions that don't fit the stated diagnosis are flagged for review, tuned to the Nigerian disease burden rather than a foreign dataset.

Routed to investigations

Flags don't stall clean claims. Suspicious patterns move to an investigations queue with the evidence attached, while everything else keeps flowing.

How it works

Screen, flag, investigate.

STEP 01

Screen during adjudication

Every claim is screened for FWA signals as it is adjudicated, so detection happens at the point of decision rather than in a monthly report.

STEP 02

Flag the pattern

Claims that match a suspicious pattern are flagged and held, with the contributing signals recorded in the append-only event log.

STEP 03

Investigate with evidence

Your investigations team picks up flagged cases with the full trail attached — provider history, related claims, and the reason for the flag.

Why it matters

Leakage is a pattern problem, not a claim problem.

Most fraud, waste and abuse is invisible one claim at a time. A single duplicate looks like an error; a single upcoded procedure looks like a judgement call. It is only across a provider's history, and against the behaviour of peers, that the pattern becomes obvious. Human reviewers cannot hold that much context in their heads, and a report that arrives after payment cannot undo the spend.

Detecting the pattern at the point of decision changes the outcome. Questionable claims are held before money leaves, providers who consistently bill outside the norm are surfaced, and your investigations team works from evidence instead of hunches — all without slowing down the clean claims that make up the majority of your book.

What individual review misses, portfolio-scale pattern detection catches.
Questions

Fraud, waste & abuse, answered.

What is fraud, waste and abuse (FWA) in health insurance?
Fraud, waste and abuse covers deliberate deception such as duplicate billing and upcoding, as well as unnecessary or mismatched services. In an HMO it shows up as claims that are technically payable but should not be paid as submitted.
How does Ajé detect fraud that individual reviewers miss?
Ajé looks for patterns across providers, prescriptions, and diagnosis-to-procedure mismatches at portfolio scale, rather than relying on any one assessor's memory of past claims. Suspicious patterns are flagged and routed to an investigations queue.
Does detection happen before or after payment?
Screening runs during adjudication, at the point of decision, so flagged claims can be held for review before money leaves — not surfaced in a report after the spend has already happened.
Is the detection tuned to the Nigerian context?
Yes. Detection is calibrated to the Nigerian disease burden — including malaria, hypertension and diabetes — and to local provider and tariff patterns, rather than Western datasets.

Find the leakage in your own book.

We walk through fraud, waste and abuse detection on the claims patterns your team sees every day.