STARS®Solutions Suite - General Dynamics Information Technology
STARS®Solutions Suite - General Dynamics Information Technology
STARS®Solutions Suite - General Dynamics Information Technology
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Physician Facility Pharmacy Dental<br />
Data Analysts Auditors Investigators Nurses<br />
POST-PAY<br />
DETECTION<br />
SUSPECT ALERTS<br />
EMERGING PATTERNS<br />
PRE-PAY<br />
PREVENTION<br />
SUSPECTS<br />
INTEGRATED<br />
COMPONENTS<br />
FINDINGS<br />
Claim History<br />
Provider Data<br />
Member Data<br />
Reference Data<br />
Statistical Models<br />
Aggregations<br />
Scores/Risk Metrics<br />
FWA Rules Engine<br />
Security<br />
System Administration<br />
User Administration<br />
WORKLOAD<br />
MANAGEMENT<br />
DATA EVIDENCE<br />
ROOT-CAUSE<br />
ANALYSIS<br />
AD HOC INVESTIGATIVE<br />
ANALYSIS<br />
Provider Outreach Administrative Staff Fraud Hotline Staff<br />
STARS ® Solutions<br />
STARS ® Interceptor<br />
Pre-Pay Prevention<br />
Close the loop between post-pay detection and<br />
pre-pay prevention.<br />
STARS ® Informant<br />
Ad-hoc Investigative Analytics<br />
Perform ad-hoc data exploration to fully support<br />
the investigation process.<br />
STARS ® Sentinel<br />
Post-Pay Detection<br />
Spot potential FWA automatically by identifying the most<br />
suspicious providers and members.<br />
STARS ® Commander<br />
Workload Management<br />
Manage workload/caseload throughout the life cycle with advanced<br />
workflow features and reporting capabilities.