TruthArrow
AI for SIU & payment integrity Investigations

Spend less time on false positives.Substantiate more fraud.

Reduce false positives. Shorten investigation time. Increase investigator capacity. Detect more fraud, waste and abuse.

Spend less time searching, reviewing, cross-referencing, and documenting. Spend more time acting on fraud, waste and abuse.

Test TruthArrow on Your ClaimsGive us a sample set of claims and see what TruthArrow finds.
  • Investigator-led
  • Evidence-backed
  • Source-cited
The problem

Another automated alert isn’t enough. Regulators expect more.

Your existing systems surface suspicious activity. TruthArrow is easy to use and helps investigators turn those signals into substantiated cases

Investigators spend hours searching across systems, reviewing claims, researching entities, connecting relationships, gathering evidence, and documenting what they find. TruthArrow compresses that work so investigators can focus their time where it matters.

Today — where the time goesSchematic · relative, not measured
Claims
Signals
Manual investigation bottlenecksearch · review · cross-reference · connect · document
Substantiated cases
With TruthArrow
Claims
Signals
TruthArrow analysis
Investigator review
Substantiated cases
Capacity returned to the team

More time substantiating real fraud, collecting on overpayments from waste and abuse, and bringing a real ROI to your programs

How TruthArrow works

From general suspicions to evidence backed by the data and investigation

01
Ingest

Bring the record together

Bring together claims, cases, investigative files, provider data, payment data, and other internal sources.

  • Claims
  • Cases
  • Investigative files
  • Provider data
  • Payment data
02
Find

Follow the relationships

Surface patterns and relationships that are difficult and time-consuming to identify manually. Ability to use internal and open source information directly from TruthArrow

  1. People
  2. Providers
  3. Businesses
  4. Addresses
  5. Claims
  6. Payments
  7. Cases
03
Deliver

Actionable ready case

Give investigators a structured investigation output showing:

  • Key findings
  • Fraud indicators
  • Entity relationships
  • Supporting evidence
  • Source citations
  • Relevant claims and payment patterns

TruthArrow surfaces the signals and connections. Your investigators decide what matters.

The four SIU KPIs

Improve the metrics your SIU is measured on.

  1. 01

    Substantiated case rate

    Spend less time on false positives.

    Surface stronger evidence earlier so investigators can prioritize cases with a greater likelihood of substantiation.

    Desired outcome
    More substantiated cases from the same investigative capacity.
  2. 02

    Find more FWA

    Increase investigation speed

    Reduce time spent searching systems, researching entities and connecting relationships. Investigators can focus on validating findings and taking action.

    Desired outcome
    Faster identification of waste and abuse, and increased recoveries.
  3. 03

    Investigator capacity

    Increase output without increasing headcount.

    Automate and accelerate repetitive investigative work so each investigator can evaluate and develop more cases.

    Desired outcome
    More investigative capacity from the same SIU team.
  4. 04

    Fraud dollars detected

    Find more of what you’re already missing.

    Analyze more information, identify hidden relationships, and pursue signals that investigators may not have time to uncover manually.

    Desired outcome
    More actionable FWA identified.

More substantiated cases.
In less time.
With the same team.
Finding more fraud and waste.

Define the benchmark.
Run the pilot.
Measure the difference.

  • Substantiation rate
  • Investigation time
  • Labor cost
  • Fraud dollars detected
Data

Put the data you already have to work.

  • 01

    Claims & payments

    • Claims histories
    • Billing records
    • Payment data
    • Utilization patterns
  • 02

    Cases & investigations

    • Prior SIU cases
    • Investigative notes
    • Referrals
    • Outcomes
  • 03

    Entities

    • Providers and members
    • Businesses and employees
    • Addresses
    • Ownership and affiliations
  • 04

    External intelligence

    • Public records, web search and social media
    • Government datasets
    • Regulatory and corporate records
    • Enforcement actions

TruthArrow connects information across sources instead of forcing investigators to search each system individually.

The pilot

Test TruthArrow on your claims

Give TruthArrow a sample of previously investigated claims. We’ll show you what TruthArrow finds, compare it with your existing process, and measure the difference.

  1. 01What your existing process found.
  2. 02What TruthArrow found.
  3. 03The measurable difference
Measure TruthArrow against the four metrics that matter
  • ↑ Substantiated case rate
  • ↓ Investigation time
  • ↓ Labor cost
  • ↑ Fraud dollars detected