Learn · Medicare · RADV · Horizon Aegis
Detection is a commodity. Proof is the moat.
Every incumbent can hand you a flagged claim. Almost none can hand counsel a self-authenticating file. That is why recoveries reverse and MFCU referrals stall.
The spreadsheet death
A flag is not a case. When a provider challenges a clawback, someone still has to authenticate origin, preserve custody, and prove nothing moved. Months after the 'finding.'
What JIL seals
A Court Ready Evidence Bundle — CREB™ — with evidence spans, hash manifest, and a seal path oriented to FRE 902(13)/(14). On MA, Horizon Aegis drafts the RADV covers on V22/V24.
The commercial line
MCO 5 bps flat, hospital 0.25% NPR, hospice 1%. No contingency. You keep 100% of recoveries. Healthcare · Pricing.
FAQ
Do you take a cut of recoveries?
Never. Rate is by buyer type. You keep 100%.
Is this another fraud dashboard?
No. The output is a sealed package, not a queue of flags.