Company lists · Data refreshed September 2026
Top 25 Healthcare claims fraud detection based in the United States
RevenueBase identified 198 healthcare claims fraud detection headquartered in the United States as of September 2026 and tracks 4,109 professional contacts across them, including 1,397 with verified work emails. Los Angeles is the largest hub.
This list covers healthcare claims fraud detection headquartered in the United States, matched on what each company actually does as described in its own words. Ranked by team size, largest first. Every row shows the company's own description, its RevenueBase Smart Search rating, and when it was last checked. Data refreshed September 16, 2026.
Published by RevenueBase, a B2B data infrastructure company. This list was built with RevenueBase Smart Search, the natural-language company search RevenueBase customers use to build their own targeted lists and unlock verified emails and direct dials at the companies on them. How these lists are built and judged.
The 25 largest healthcare claims fraud detection based in the United States
Ranked by team size| # | Company | Contacts | |||
|---|---|---|---|---|---|
| 1 | 338 contacts → | ||||
Indirect evidence “For over 50 years, our history has been rooted in commitment to quality improvement for organizations, and quality of life for the people they serve.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 2 | 192 contacts → | ||||
Partial evidence “AIM Healthcare Services, Inc.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 3 | 184 contacts → | ||||
Indirect evidence “MedReview is a different type of payment integrity company.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 4 | 170 contacts → | ||||
Partial evidence “Provider Resources, LLC (PRI) offers the federal healthcare space expert services in medical review and program integrity measures, education and training, healthcare quality…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 5 | 103 contacts → | ||||
Partial evidence “zakipoint Health brings truth and transparency to an employer's healthcare spend.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 6 | 94 contacts → | ||||
Indirect evidence “Our goal is to empower clients to deliver on their missions, enhance program/payment integrity initiatives, and elevate best practices utilizing decades of experience in…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 7 | 94 contacts → | ||||
Partial evidence “6 Degrees Health is a healthcare cost containment company dedicated to achieving superior results while prioritizing a best-in-class customer and member experience.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 8 | 86 contacts → | ||||
Partial evidence “J29, Inc.(J29) is an employee centered healthcare management consulting company that was founded to prioritize the employee experience.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 9 | 81 contacts → | ||||
Indirect evidence “After nearly two decades of auditing large data sets and performing extrapolation for increased ROI for payers, Advize has shifted focus to building relationships with providers…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 10 | 69 contacts → | ||||
Strong evidence “Healthcare Fraud Shield provides new and unique Fraud, Waste, Abuse & Error (FWAE) automated solutions to the healthcare industry.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 11 | 69 contacts → | ||||
Partial evidence “Alivia Analytics (known as Alivia) provides a revolutionary, AI-powered end-to-end Healthcare Payment Integrity Platform that serves as a single source of truth data and analytics…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 12 | 68 contacts → | ||||
Partial evidence “WellRithms is boldly transforming the landscape of healthcare reimbursement with a vision for a system that benefits everyone.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 13 | 55 contacts → | ||||
Indirect evidence “MSP Recovery uses a multi-level structure involving proprietary software and a highly trained staff including IT personnel, accountants, statisticians, physicians, data analysts…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 14 | 48 contacts → | ||||
Partial evidence “Asset Protection Unit (APU) is the only high volume/small dollar data mining and non-abrasive claims overpayment recovery solution for major insurance carriers.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 15 | 46 contacts → | ||||
Partial evidence “Lumelight brings together the expertise, capabilities, and people behind seven legacy brands: Benefit Comply, BMI Audit Services, ClearFile, Consova, CXC Solutions, Healthcare…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 16 | 46 contacts → | ||||
Partial evidence “HHC Group is a medical claims cost-containment company that discounts health claims and works on behalf of patient's, insurer's (including self-insured employer groups), third…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 17 | 45 contacts → | ||||
Indirect evidence “Welcome to the premiere provider of payment integrity, risk management, and business intelligence solutions that drive smarter, faster, more cost-effective care.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 18 | 45 contacts → | ||||
Partial evidence “SmartLight Analytics was formed by a group of industry insiders driven to make a meaningful impact on the rising cost of employee healthcare.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 19 | 45 contacts → | ||||
Indirect evidence “VARIS offers a variety of cost containment services (Inpatient DRG, Outpatient APC, Clinical Validation, Readmissions and ER/ED Leveling) for payers resulting in hard dollar…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 20 | 43 contacts → | ||||
Strong evidence “Lifemed is transforming healthcare claims lifecycle, by bridging the entire journey from patient check-in to claim adjudication with modern technologies.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 21 | 36 contacts → | ||||
Partial evidence “CSA specializes in performing healthcare audits, data analytics, medical reviews, investigations, and benefit recoveries.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 22 | 35 contacts → | ||||
Partial evidence “Vital Incite: Population Health Solutions, is a health care consulting firm offering the insight needed to strategically align healthcare resources to meet the needs of employee…” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 23 | 34 contacts → | ||||
Strong evidence “As the leading provider of personal auto lines and high-risk non-standard auto market, holistic fraud detection and deterrence services, CARCO has helped reduce fraud since 1977.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 24 | 33 contacts → | ||||
Strong evidence “We help healthcare providers achieve maximum compliant reimbursement for accident-related claims (ARCs).” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
| 25 | 30 contacts → | ||||
Partial evidence “CareSet supercharges pharma marketing initiatives as the first company commercializing 100% of Medicare A, B, C and D claims.” Source: RevenueBase Database · checked Sep 16, 2026Thanks. The Data Team will review it. | |||||
RevenueBase Smart Search
RevenueBase Smart Search assesses information from a company’s LinkedIn profile, information supplied directly by the company, its website, and other publicly available sources. It uses that information to rate how closely the company relates to this list’s category: healthcare claims fraud detection. Every row carries its rating and the description the rating was read from, so each one can be checked rather than taken on trust.
- Strong evidence
- The company's own public description of its business names healthcare claims fraud detection.
- Partial evidence
- Its own public description names part of healthcare claims fraud detection, so it works in or next to the category without describing itself that way.
- Indirect evidence
- The description shown does not name healthcare claims fraud detection. The match rests on the rest of the company's public profile rather than the one sentence quoted here, so this is the rating to check first.
RevenueBase Smart Search is how these lists are built: RevenueBase's data engine and AI assemble the companies that match a category defined in a user's own words, so a list can be about what companies actually do rather than about whichever industry code they were filed under.
Showing 25 of 198 healthcare claims fraud detection based in the United States
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Healthcare claims fraud detection based in the United States at a glance
As of Sep 16, 2026Companies by employee count
Email recency for this list is measured worldwide rather than for United States, so it is reported there. Company counts and contact totals on this page are exact for United States, over 198 companies.
How this list was built
Company categories are rarely black and white. RevenueBase reads each company's own description of its business to decide whether it belongs among healthcare claims fraud detection, so some rows will be adjacent to the category rather than pure plays. The description and RevenueBase Smart Search rating on every row are there so you can check each match yourself.
- Source
- The RevenueBase company graph: 60 million companies and 398.9 million professional contacts resolved from primary sources, queried with RevenueBase Smart Search, the natural-language company search available to every RevenueBase user.
- What qualifies
- Companies headquartered in the United States whose own description of what they do matches “healthcare claims fraud detection”. Matching reads each company's description, not its industry code or its name.
- RevenueBase Smart Search
- RevenueBase Smart Search is how this list is assembled and how each row is rated. RevenueBase's data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to a category defined in a user's own words. Each row is rated strong evidence (its own description names healthcare claims fraud detection), partial evidence (it names part of the category) or indirect evidence (the description shown names none of it and the match rests on the rest of the company's profile). The description supporting each rating is quoted on the row.
- What we exclude
- Companies whose own description does not clearly place them among healthcare claims fraud detection, and records with no verified work email. Companies headquartered outside United States are excluded even when they keep an office there.
- Match quality
- In blind human judging of this matching method, 86% of matched companies were on target. Expect roughly 1 in 7 rows to be adjacent to the category rather than a pure play. Every row shows the company's own description and its RevenueBase Smart Search rating so you can judge each match yourself. Read the full methodology: how the lists are built, how the judging worked, and what the figure means.
- Ranking
- Team size, largest first: companies are ordered by the number of professionals RevenueBase tracks at each one. Employee ranges shown are reported bands, for context.
- Verification
- Every listed company carries at least one verified work email, 1,397 across the full list. Contacts re-verify on a rolling cadence, and each contact's own verification date is shown inside RevenueBase.
- Refresh
- This page's figures were pulled from the company graph on September 16, 2026. Lists refresh periodically as the graph is re-checked.
- Corrections
- Wrong category, wrong headquarters, or a company that has closed? Use “Report an issue” on any row. Reports go to the RevenueBase Data Team and feed back into the company graph.
Frequently asked
What is RevenueBase Smart Search?
RevenueBase Smart Search is how RevenueBase decides which companies belong on this list and how strongly each one fits. Its data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to the category the list is about. Each row is rated strong evidence when the company's own description names healthcare claims fraud detection, partial evidence when it names part of the category, and indirect evidence when the description shown names none of it and the match rests on the rest of the company's profile.
How many healthcare claims fraud detection are there based in the United States?
RevenueBase identified 198 healthcare claims fraud detection headquartered in the United States as of September 2026, matched on each company's own description of what it does rather than its industry code.
What is the largest company on this list?
Qlarant, headquartered in Easton, tops this list with the largest team on record.
Which city has the most healthcare claims fraud detection?
Los Angeles leads with 5 headquartered companies, followed by New York (5) and Houston (4).
How do I get contact information for these companies?
A free RevenueBase account lets you run this exact search and work the top results, verified emails and direct dials included. Upgrading unlocks all 1,397 verified decision-maker contacts tracked across these 198 companies.
How current is this list?
The list refreshes periodically as the company graph is re-checked. This page's figures were pulled on September 16, 2026.
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About this data
RevenueBase is a B2B data infrastructure company. Its company graph covers 60 million companies and 398.9 million professional contacts, with emails verified on a rolling cadence rather than scraped once and left to decay. These company lists are generated directly from that graph with RevenueBase Smart Search, the same natural-language company search every RevenueBase user has: describe a market in plain words, get the companies that match, and add verified emails and direct dials for the people at them. It is the same data that powers RevenueBase's B2B data products, and a free account includes 500 credits to start. How these lists are built and judged.
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