Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center.
Specialties - Data Mining, Fraud Investigations, Pharmacy and Health Systems Expertise, Medical Review and Compliance Auditing, Call Center Expertise, Quality Improvement, External Quality Review Organization, Medicaid, Medicare, Utilization Management, Quality Assurance, Developmental Disabilities, Audits, Investigations, Fraud, Waste, and Abuse, Predictive Modeling, CMMI, Predictive Analytics, and RIViR™ Risk Solutions Suite
Source: Qlarant
