MedGuard™ is the Alliant ASO system of integrated software applications and services that provides health plan integrity functions to identify, recover, and prevent inappropriate payments for health care. These functions include detecting, investigating, and preventing fraud, waste, and abuse by health plan participants. With MedGuard™, we are able to analyze claims and payment data using statistical and database techniques that look for patterns to suggest fraud or abuse.
MedGuard doesn't rely solely on formulas to determine fraud, but uses a unique combination of software and experienced judgment from informed clinician/auditors.
With Alliant ASO's MedGuard, you never have to wonder if an honest mistake is costing you money or if you have an integrity problem. We can, quickly and confidentially, provide you with the accurate information you need to make smart, operational decisions.