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    Medical Payment Fraud Detection Companies

    ID: MRFR/MED/8300-HCR
    120 Pages
    Kinjoll Dey
    October 2025

    Specializing in financial integrity within healthcare, Medical Payment Fraud Detection companies leverage advanced technologies to combat fraudulent activities. Their solutions provide healthcare organizations with robust tools for detecting and preventing payment fraud, ensuring the security and transparency of financial transactions in the complex healthcare ecosystem.

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    Top Industry Leaders in the Medical Payment Fraud Detection Market

    Medical Payment Fraud Detection Key Companies

     


    Latest Medical Payment Fraud Detection Companies Update:

    Verisk Analytics acquires Milliman's healthcare business: In a major move, Verisk Analytics, a leading data analytics provider, acquired Milliman's healthcare business in November 2023. This acquisition strengthens Verisk's capabilities in medical fraud detection and risk assessment.


    Nuance acquires Saykara: Nuance Communications, a leader in speech recognition and artificial intelligence, acquired Saykara, a provider of AI-powered healthcare fraud detection solutions, in October 2023. This move will help Nuance expand its healthcare offerings and leverage Saykara's expertise in anomaly detection and predictive analytics.


    Cipher Health raises $50 million: Cipher Health, a company that uses AI to prevent healthcare fraud, raised $50 million in a Series C funding round in December 2023. This funding will fuel the company's expansion and development of new fraud detection solutions.


    Evolent Health raises $1 billion: Evolent Health, a healthcare services and technology company, raised $1 billion in a Series E funding round in September 2023. Part of the funds will be used to invest in Evolent's fraud detection and risk management platform.


    Change Healthcare unveils new fraud detection platform: Change Healthcare, a healthcare technology provider, launched its TruShield Fraud Detection Platform in October 2023. The platform uses machine learning and AI to identify and prevent fraudulent claims.


    List of Medical Payment Fraud Detection Key companies in the market


    • LexisNexis Risk Solutions




    • International Business Machines Corporation




    • Optuminsight




    • OSP Labs




    • DXC Technology Company




    • Unitedhealth Group




    • SAS Institute




    • Fair Isaac Corporation




    • EXL Service Holdings, Inc.




    • CGI GROUP