In this demo, we showcase how Qlik’s powerful analytics ecosystem—combining Qlik Analytics, Qlik Answers, and AutoML—helps auditors and healthcare claims managers proactively investigate, adjudicate, and mitigate fraudulent or incorrect healthcare claims. Highlights Include: Quickly identifying states and providers with significant financial exposure from claim inaccuracies. Investigating flagged claims and instantly validating billing policies using Qlik Answers, powered by official documentation sources. Utilizing Qlik AutoML predictive capabilities to proactively identify trends in provider behavior and anticipate future risks, enabling strategic decision-making and significant cost avoidance. This demonstration clearly illustrates how integrating Qlik’s analytical tools transforms claims management, enhances audit efficiency, and reduces financial risk.
Built to leverage AI-driven machine learning, analyzing multi-dimensional crime data to uncover emerging trends, forecast potential risks, and support data-driven decision-making to enhance public safety.
This cutting-edge AI solution can augment investigative efforts by analyzing unstructured data (case files, policy, and procedural documents) quickly and accurately, enhancing decision-making capabilities, and improving operational efficiency.
This AI-featured dashboard simplifies complex decisions by integrating data across facilities into a unified platform. Offers actionable insights to streamline maintenance planning, prioritize resources, and improve operational efficiency.