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OUR PROVEN EXPERTISE IN INSTANT ANOMALY DETECTION

IDENTIFYING SUSPICIOUS NETWORK PROVIDERS

VSP is the largest vision healthcare provider in the US, providing products and services to eye-care professionals, employers, and more than 70 million members. VSP processes 25M claims every year.

Aviana developed anomaly detection algorithms to identify suspicious providers for the Special Investigative Units (SIU) as well as the Data-Warehousing group – deriving fraud indicators, controlling the fraud indicators for known or explainable causes, developing outlier metrics at the provider level, and combining the multiple outlier metrics to derive a provider fraud score.

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IMPROVING STATE DEBT COLLECTIONS

CA Franchise Tax Board implemented a broad tax modernization initiative to help individual and business income taxpayers file tax returns timely, accurately, and pay the correct amount to fund services important to Californians.

Aviana implemented over 50 AI models to serve the major functional areas of the EDR organization which have helped recover over $2 billion dollars of debt for The Franchise Tax Board of California alone.

The monetary benefits attributed to Aviana’s analytics models include:

  • $400 million recovered in the first two years of the CA FTB project alone
  • 300% improvement in efficiency of recovering debt
  • Improvements in fraud detection: $136M
  • Improved Debt Collection: $2.22 Billion

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“Aviana’s solution really has empowered our analysts and investigators to be citizen data scientists to allow us to get into, and find those issues sooner and allow them to focus on the ability to do their job, which is investigating potential issues.”

– Joe Brutsche, Chief Data Officer, Pearson Vue

Introducing Nemesis by Aviana
Your next-generation AI-powered anomaly detection technology that:

  • identify areas in your business operations to improve proficiencies
  • detect fraud and waste throughout your business operations
  • enable your analysts to build sophisticated data science models with ease

Creating worry-free tomorrows with next-generation risk management solutions, today.

To learn more, visit: nemesisbyaviana.com

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REAL-TIME ANOMALY DETECTION

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