JSON twin: https://www.healthaidb.com/software/codoxo.json
Codoxo
https://www.codoxo.com/unified-healthcare-cost-containment-platform-products/
Codoxo provides a generative-AI powered unified cost-containment platform that helps healthcare payers, PBMs and government agencies detect and prevent fraud, waste, and payment errors earlier in the claims lifecycle.
Codoxo's Unified Cost Containment Platform combines generative and self-learning AI, data mining, automation and workflow tools to enable pre-claim and prepayment interventions, payment integrity, provider education, fraud detection (FWA), audit/case management and AI-driven medical record review for large payers, PBMs and state/federal agencies.
unknown
2016
P0369
2025-09-07
commercial proprietary
Contact vendor for enterprise pricing, demos and implementation details.
enterprise_quote
2016
product
1.0
{
"company_name": "Codoxo",
"company_url": "https://www.codoxo.com/",
"company_offices": [
"United States"
],
"company_founding": "2016",
"product_url": "https://www.codoxo.com/unified-healthcare-cost-containment-platform-products/",
"categories": [
"payment integrity",
"fraud detection / FWA",
"provider education",
"audit case management",
"medical record / chart review",
"data mining / analytics",
"compliance / policy validation",
"generative AI for healthcare"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.codoxo.com/",
"https://www.codoxo.com/unified-healthcare-cost-containment-platform-products/",
"https://www.codoxo.com/company-overview/",
"https://www.codoxo.com/leadership/",
"https://www.codoxo.com/claimpilot-generative-ai-in-healthcare/",
"https://www.codoxo.com/payment-integrity-solutions/",
"https://www.crunchbase.com/organization/codoxo",
"https://pitchbook.com/profiles/company/171430-12",
"https://www.prnewswire.com/news-releases/codoxo-unveils-new-ai-data-health-integrity-agent-to-accelerate-time-to-value-and-eliminate-costly-data-errors-302392064.html",
"https://www.codoxo.com/wp-content/uploads/2024/01/GenAI-Whitepaper_compressed.pdf"
],
"summary": "Codoxo provides a generative-AI powered unified cost-containment platform that helps healthcare payers, PBMs and government agencies detect and prevent fraud, waste, and payment errors earlier in the claims lifecycle.",
"description": "Codoxo's Unified Cost Containment Platform combines generative and self-learning AI, data mining, automation and workflow tools to enable pre-claim and prepayment interventions, payment integrity, provider education, fraud detection (FWA), audit/case management and AI-driven medical record review for large payers, PBMs and state/federal agencies.",
"target_users": [
"healthcare payers (claims/payment integrity teams)",
"pharmacy benefit managers (PBMs)",
"state and federal agency program integrity teams",
"SIU investigators and fraud analysts",
"audit/compliance teams",
"provider relations/education teams",
"medical reviewers/clinicians",
"data analysts and operations admins"
],
"specialties": [
"payment integrity",
"fraud, waste & abuse (FWA) detection",
"medical record/complex chart review",
"provider education and billing compliance",
"claims audit & recovery"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for enterprise pricing, demos and implementation details.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Unified data views for cross-team collaboration",
"Generative + self-learning AI for claim analysis",
"Automation at scale for audits, case management, and compliance",
"Intelligent/prescriptive reporting",
"Real-time access to data",
"Rapid onboarding",
"Pre-claim provider education",
"Prepayment and postpayment claim analysis",
"Fraud, waste & abuse detection",
"Audit workflow automation",
"Medical record review automation (Clinical ClaimPilot)",
"Contract and policy validation (Compliance ClaimPilot)",
"Concept development and data mining (Concept ClaimPilot)",
"Provider outreach/workflow automation",
"Case management and SIU workflows",
"Data mining services",
"Virtual SIU services"
],
"optional_modules": [
"Provider Scope",
"Audit Scope",
"Fraud Scope",
"Payment Scope",
"Clinical ClaimPilot",
"Compliance ClaimPilot",
"Concept ClaimPilot"
],
"integrations": [],
"data_standards": [],
"api_available": "unknown",
"system_requirements": "",
"compliance": [],
"certifications": [],
"security_features": [],
"privacy_features": [],
"data_residency": "",
"customers": [
"Blues Health Plan",
"Pacific Blue Health Plan",
"Midwestern Blue Health Plan",
"State Medicaid Agency",
"Harvard Pilgrim Health Care",
"National Health Plan",
"Highmark"
],
"user_reviews": [],
"ratings": [
"KLAS Research Spotlight Report: Rated A for executive involvement and A+ for likelihood to recommend"
],
"support_channels": [
"email",
"phone",
"ticketing"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "2016",
"integration_partners": [
"HealthEdge",
"JupiterOne"
],
"id": "P0369",
"slug": "codoxo",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/codoxo.json"
}
}