Our goal is to bridge the gap between information analysis, law enforcement, and policy to create an enviroment which allows for the prevention of payement to suspicous claims. At the same time we bring a breadth of law enforcement experience to the challenege of recovering suspcious payments made in the past.

 

 

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Reflective Medical's mission is to help its customers prevent and recover fraudulent claims in healthcare. Reflective delivers is a zero tolerance approach for false claims within a health plan using ClaimSentry, our software solution for healthcare fraud risk identification. We reduce the cost of finding every false claim submitter in the health plan to a point where zero tolerance is feasible. Reflective Medical also brings end-to-end investigative, prosecutorial and judicial training programs that lead to significantly higher recovery success rates.

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Reflective Medical accomplishes this through a combination of:

• ClaimSentry Software
• Expert Consulting
• Employee Training
• Systems Integration

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Our stratagy which combines the ClaimSentry suite of software products with law enforcement expertise and experience, allows us to prevent suspicous claims from ever getting paid. It also brings a wealth of investigative tools and experience to recover claims that have already been paid.