01 / What's Broken Today
Health plans lose $145B+ to fraud, waste & abuse (FWA) each year — despite spending $10B+ on prevention tools.
The tools themselves?
Fragmented. Noisy. Reactive.
Special Investigative Units (SIU) are buried in false positives. Investigators, analysts and compliance leaders are stretched thin.
And most platforms don’t adapt to the way your plan actually works.
02 / Introducing: BlueStamp Intelligence Suite™
An intelligent, unified platform for end-to-end improper payment detection and compliance, consisting of 4 AI-powered modular capabilities.
BluePilot
AI Co-Pilot for FWA Detection & Triage
Query complex claims, providers and patterns in plain English—no SQL, dashboards or noise. It's the fastest way to triage suspicious activity.
BlueFlag
AI Plan Compliance Engine
Cross-check uploaded regulations, SOPs, contracts, policies, training materials, claims and more to flag misalignments instantly. Feel confident with transparent citations and explainability.
BlueBrief
AI One-Click FWA Case Summaries
Generate case briefs from messy claims data, provider history, and notes in one click—so you can hand off clean narratives to compliance, audit and legal.
BlueCheck
Auto-Claims Data Validation
Automatically detect missing fields, mismatched values and suspicious anomalies in claims—so you (and others downstream) don’t waste time investigating bad inputs.
03 / Why We're Different
A next-gen solution built for how health plans & FWA investigators actually work—
not how vendors wished they did.
Yesterday
Static Edits & Rules-Based
Post-Pay Focus
("Pay & Chase")
Siloed Systems
Generic Application
Today
Black-Box ML Models & Surface-Level AI
Shift to Pre-Payment
(But Non-Contextualized)
Integrated Dashboards
(Without True Investigation Support)
Infrequent, Vendor-Dependent
Re-Training
Tomorrow (BlueStamp)
Explainable, Contextual AI
(Adapts to Plan-Specific Policies & Nuances)
Post-Pay Optimized
(With a Path to Pre-Pay)
Unified, NLP-Driven Investigation Hub
(Search, Triage, Summarize & Accelerate)
LLM-Powered Feedback Loop
(Surfaces FWA & Compliance Blind Spots)
04 / Why You Can Trust Us
Backed by experience. Built with the field.
We’ve built AI fraud detection systems for the most sensitive domains in the world—the IRS, CMS & U.S. National Security & Intelligence communities.
Now, we’re bringing that same power to healthcare.
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Multiple PoCs & Strategic Partnerships Underway
With U.S. health plans, consulting firms, TPAs & health plan partners
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100+ Stakeholder Interviews
Informed by Fraud, Special Investigative Unit (SIU), Payment Integrity & Compliance executives and users
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Created by Technologists & Strategists
From ARPA-H, Deloitte, Samsung, MIT and Stanford
05 / Who We Serve
If you're fighting fraud, waste & abuse (FWA) and rising costs, we're building for you.
Strategic Advisors & Audit Partners
Consulting Firms
Audit & Compliance Partners
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Regulatory Advisors & Contractors
Health Plans & Sponsors
Health Plans
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Third-Party Administrators (TPAs)
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Employer Groups & Self-Funded Plans
Enablers
Health Tech Platforms
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Data Vendors & Analytics Firms
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System Integrators
