Company profile: Codoxo
1.1 - Company Overview
Company description
- Provider of an AI-assisted healthcare platform using patented Forensic AI to analyze claims, identify waste, suspicious behavior, and emerging fraud, and deliver insights across all claim types. Offerings include Fraud Scope, Provider Scope, Insight Scope, Network Scope, and Clinical Scope for case investigations, provider peer comparison, self-service reporting and querying, network behavior analysis, and pre-authorization review.
Products and services
- Fraud Scope: Automatically detects new and emerging healthcare fraud schemes and delivers integrated case workflow for investigations, AI-assisted
- Forensic AI Platform: Patented AI engine analyzes healthcare claims data to detect and deliver insights on wasteful practices across all claim types and codes, earlier than traditional techniques
- Provider Scope: Peer-benchmarked analytics compares providers' claims and coding practices to peers, identifying outliers and engaging providers to improve claim integrity
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Codoxo
Intelimedix
HQ: United States
Website
- Description: Provider of healthcare business intelligence and informatics.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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Elevance Health
HQ: United States
Website
- Description: Provider of integrated whole-health solutions and insurance, including commercial plans via employers or marketplaces, Medicaid, and Medicare (including Medicare Advantage). Focuses on healthcare spending and value, transforming care by integrating behavioral, social, and physical health with technology, and conducts health policy research through its Public Policy Institute.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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Glidian
HQ: United States
Website
- Description: Provider of authorization solutions that streamline communication between healthcare providers and payers. The platform offers suggestions to help ensure prior authorization approval on the first attempt, consolidates authorizations across insurers in one place, pre-populates forms, assists with supporting documentation, and supports manual entry or direct integrations with payors via X12 278, HL7, CSV, or API.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Decision Point Health
HQ: United States
Website
- Description: Provider of an analytics platform for healthcare plans to improve member and provider engagement, offering care and provider management, OPUS member profiling, CAHPS prediction and experience optimization, Provider Spotlight performance insights, machine learning-driven predictions for avoidable events, HEDIS engagement campaigns, and care coordination and management to forecast the member journey.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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vCareConnect
HQ: United States
Website
- Description: Provider of a next-generation technology platform that connects the entire health care continuum, offering care coordination tools to improve health care delivery and patient engagement for all stakeholders.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full vCareConnect company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Codoxo
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Codoxo
2.2 - Growth funds investing in similar companies to Codoxo
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4 - Top valuation comps for Codoxo
4.2 - Public trading comparable groups for Codoxo
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