Know Your Provider
Provider lifecycle management in compliance with ACA requirements for provider enrollment, screening and continuous monitoring.
Digital Harbor offers the industry’s most advanced end-to-end operational intelligence suite for detection, investigation, assessment and monitoring. Proven in some of the largest US Financial Institutions and Government Intelligence Agencies, Digital Harbor’s award winning platform delivers real-time analytics, case management and dynamic dashboard technologies for proactive risk management. Digital Harbor is working with CMS to lead automation-based transformation in restructured federal contracts (MAC, ZPIC, RAC, MIC). Digital Harbor is the only COTS ECaM platform, being used on both Medicare and Medicaid contracts.
Prevents and detects fraud using audits. Provides compliance dashboard, claims analysis and an understanding of overpayments and recoveryRead more
Manages lifecycle of employees esp. caregivers including their background screening and rap back for continuous workforce monitoringRead more
Facilitates claims' review and adjudication. Includes predictive analytics to detect frauds early and take remediation actions.Read more