Healthcare Fraud Shield
FWA solutions for health insurers
Year of Investment
2020
Sector(s)
Technology
Status
Current
Subsector
Healthcare IT
Website
hcfraudshield.com(Link opens in new window)Headquarters
Chesterfield, MO
Team
Healthcare Fraud Shield was founded in 2011 to offer innovative fraud, waste and abuse (FWA) solutions to healthcare insurance payers. HCFS offers a next-generation SaaS platform that uses proprietary data, artificial intelligence, rules and algorithms to enable payers to identify FWA claims, driving meaningful cost savings and a high ROI for customers. The platform is fully integrated, addressing the entire range of pre-payment and post-payment workflows with a combined view of both medical and pharmacy claims.
Investment Summary
Charlesbank’s Technology Opportunities team invested in HCFS in 2020, taking a controlling interest in the company with the balance owned by management. The investment positions the company well for continued growth and to accelerate existing investments in proprietary analytics, artificial intelligence, new products and customer service.