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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.

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