Fraud Waste and Abuse

Backed by a robust system, GlobeMed Gulf possesses the expertise and technology to effectively detect and manage cases of fraud, waste, and abuse.

  • Fraud and abuse detection: Suspected claims are automatically flagged for further investigation.
  • Automated medical rules engine: Provides real-time detection of medical discrepancies, misuse, and waste.
  • Pre- and post-payment audits: Enable in-depth examination of suspected cases, allowing investigators to collect evidence and confirm or dismiss suspicions.