Waste & Abuse Protection

CoreSource brings sophisticated technology similar to what's used to monitor credit card purchase patterns to analyze historical claims for questionable provider billing patterns. We also use experienced waste and abuse-fighting experts to ensure claim dollars are being spent on valid claims, not bogus or padded ones. Through manual, hands-on review, we can catch the most common types of waste and abuse, which software alone can't find. Extensive data mining, analysis, and system logic enables us to not only detect new waste and abuse schemes, but also uncover past wasteful and abusive claims for a higher return.