AI-Powered Fraud Prevention & Program Integrity
An HRN Group Division
State agencies nationwide face unprecedented program integrity challenges
The GAO estimates $162 billion in improper payments across 68 federal programs in FY2024 alone — $2.8 trillion cumulative since 2003. Five programs account for 75% of the waste: Medicare, Medicaid, EITC, SNAP, and pandemic-era spending.
Manual auditing and sample-based reviews catch only 5-10% of fraud vectors. Traditional approaches operate on annual cycles while fraud happens in real-time.
State agencies face staffing constraints, budget limitations, and outdated tools across every program — Medicaid, SNAP, child welfare, workforce — while federal oversight demands continue to increase.
Four capabilities that work across every funded program
Purpose-built for state agencies and legislatures
See exactly what's happening across every funded program
We process and correlate data from the most authoritative sources
From raw data to actionable intelligence in real-time
Standardized intake of claims, eligibility, enrollment, and policy data in any format (837, HL7, CSV, EDI). Secure SFTP with encryption. No system integrations required.
50+ vector fraud detection matrix applied across 8 program integrity lifecycle stages. Machine learning models updated weekly. Real-time risk scoring and cross-program pattern correlation.
Executive reporting for legislators and agency leadership. Audit trails, compliance documentation, quarterly reporting. Everything states need for federal oversight and legislative accountability.
State and federal agencies nationwide are deploying Sentinel to detect fraud in real-time, protect program integrity across every funded program, and meet oversight requirements. Schedule a demo to see how we can serve your agency.
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