Codoxo

Codoxo is a specialized AI platform providing a unified Healthcare Integrity Suite powered by its patented Forensic AI technology. Moving beyond the limitations of legacy rules-based engines, Codoxo's architecture utilizes unsupervised and semi-supervised machine learning to identify emerging patterns of fraud, waste, and abuse (FWA) before they become systemic. In 2026, the platform stands out for its 'Shift Left' approach, enabling healthcare payers, government agencies, and PBMs to transition from retrospective 'pay-and-chase' models to real-time, pre-payment prevention. The system analyzes vast streams of claims data, clinical records, and provider behaviors to generate highly accurate risk scores and actionable investigative leads. Its technical framework is designed for the high-security requirements of the healthcare sector, ensuring HIPAA compliance and seamless integration with existing core administrative processing systems (CAPS). By automating the clinical review process and provider network monitoring, Codoxo significantly reduces administrative overhead while maximizing the recovery of misspent healthcare dollars.