Pega Marketplace
Fraud, Waste, and Abuse Solution
Fraud, Waste, and Abuse System
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Overview
Carrollton’s Fraud, Waste, and Abuse System (FWAS), powered by the Pega Platform, is a configurable Investigative Case Management System designed to detect and prevent fraud at scale. Acting as a centralized hub, FWAS seamlessly integrates with external data sources—including exclusion lists, predictive analytics, and human referrals—to automate fraud detection, streamline case investigations, and enhance program integrity. Whether deployed alongside existing applications or as a standalone solution, FWAS optimizes workflows, prioritizes high-risk cases, and facilitates law enforcement referrals when necessary. With its robust, adaptable framework, FWAS supports diverse use cases, from credit disputes to opioid abuse investigations, ensuring rapid deployment and scalable protection against evolving threats. By leveraging scoring engines, and rule-based heuristics, Carrollton’s FWAS empowers organizations to minimize fraud, maximize efficiency, and safeguard critical programs.
Key Features
- Workflow Optimization
- Case Management
- Seamless Integration
- Automated Fraud Detection & Case Prevention
Resources
Partner Name
Carrollton
Tags
- Pega Products: Pega Platform Pega Platform
- Industry: Healthcare Healthcare Government Government Insurance Insurance
- Product Capability: Case Management Low-Code App Development Case Management Low-Code App Development Case Management Low-Code App Development Case Management Low-Code App Development
- Pega Version compatibility: Pega Platform '24.2 '24.1 '24 '23 8.8 8.7 8.6
- Geography: Americas
Offering Type
Component