FWA in healthcare costs organizations millions every year. Healthee’s AI engine and recoupment team puts that money back in your hands
Healthee’s AI-powered fraud, waste, and abuse system has already identified $10.6M in suspicious claims for a single self-insured employer in 2025 alone. We have also identified $2.9 million in suspicious claims for another self-insured employer, representing 10.2% of their total plan spend in 2024.
Healthee’s proprietary AI-powered FWA detection engine surfaces suspicious patterns invisible to traditional audits, driving millions of dollars in savings for plan sponsors. Healthee approaches fraud, waste, and abuse recoupment before and after significant financial losses, using our AI to improve detection accuracy with every automated claims review while minimizing false positives.
The difference lies in our hands-on, proactive approach to recoupment. Unlike other payment integrity solutions, Healthee manages the entire recovery process from suspicion to money back to the plan sponsor. Our engine provides clear evidence and insights that the Healthee recoupment team can immediately act upon.
Best of all, Healthee’s model is pay-for-performance. Employers only pay when dollars are recovered. No hidden fees. No recoupment, no cost.
Healthee does the heavy lifting, reaching out to providers and leveraging in-house clinical staff to review medical and pharmacy bills. We also work hand-in-hand with your TPA and have direct relationships with most major and independent TPAs in the U.S.
