01 / Who We Serve
If you fight medical fraud and waste, we’re building for you
Vendors
Consulting firms
Audit partners
Payers
Health plans
Third-party administrators (TPAs)
Employer groups
Enablers
Health tech platforms
Regulatory contractors
02 / What's Broken Today
Health plans lose $145B+ to fraud, waste, and abuse (FWA) each year — despite spending $10B+ on prevention tools.
The tools themselves?
Fragmented. Noisy. Reactive.
SIUs are buried in false positives. Investigators are stretched thin.
And most platforms don’t adapt to the way your plan actually works.
03 / What We're Building
A modern AI co-pilot that helps SIUs move faster, think smarter, and prove impact.
Four integrated capabilities in one smart, explainable platform.
Smarter Risk Scoring
See the riskiest claims — with explainable logic that matches your plan.
AI Investigation
Co-Pilot
AI-powered guidance that streamlines evidence gathering, case tracking, and more
AI Case Summaries & Management
All your siloed data, synthesized into a single, clear case view.
ROI & Outcomes Tracking
Track what matters — $ exposed / audited / recovered, cost savings, and more
04 / Why We're Different
A next-gen solution built for how SIUs actually work — not how vendors wished they did
Yesterday
Rules-based
Post-payment ("pay and chase")
Siloed systems
Static rules
Today
Black box ML
Some pre-payment
Integrated dashboards
Quarterly retraining
Tomorrow (BlueStamp)
Explainable, contextual AI
Post-payment, then pre-payment
Unified, NLP-driven investigation hub
LLM-powered, continuous feedback loop
Supports every type of investigator
Whether your team consists of data nerds, ex-FBI agents, medical coders or clinicians, our AI delivers actionable insights to complement every skillset.
Adapts to your health plan
Fraud isn’t one-size-fits-all—and neither are we. Our risk scoring models learn from your claims, providers, and historical patterns to deliver plan-specific precision.
Built to explain itself
No black-box scores or mystery flags. Every decision is backed by transparent logic — tied to your plan, your policies, and your risk thresholds.
Integrates with your existing tools and workflows
No need to rip and replace. BlueStamp plugs into your existing systems to streamline workflows — not disrupt them.
05 / Why You Can Trust Us
Backed by experience. Built with the field.
We’ve built fraud detection systems for some of the most sensitive domains in the world — including the IRS, CMS, and national security agencies. Now, we’re bringing that same power to healthcare.
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2 Design Partnerships in Progress
Co-building with a design partner working with multiple U.S. health plans and a leading regional health plan
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60+ Stakeholder Interviews
Informed by FWA leaders, SIU/Payment Integrity executives and investigators, and compliance experts
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Created by Technologists & Strategists
From ARPA-H, Deloitte, Samsung, MIT and Stanford
