Sentinel Solutions

Program integrity intelligence across every agency, every dollar, every program — from Medicaid to SNAP, child welfare to workforce services

Fraud Detection & Prevention

Real-time monitoring across 50+ fraud vectors and 8 program integrity lifecycle stages

8 Program Integrity Lifecycle Stages

Provider/Vendor Enrollment

Fraudulent credentials, false affiliations, excluded provider re-enrollment, shell entities

Beneficiary/Recipient Eligibility

Ineligible individuals, income misrepresentation, duplicate enrollment across programs, identity fraud

Service Authorization

Unauthorized services, level-of-care manipulation, prior auth bypass, unnecessary referrals

Claims & Payment Submission

Upcoding, unbundling, phantom billing, duplicate claims, misrepresented services

Adjudication & Processing

Fee schedule violations, incorrect rate application, missed edits, policy override abuse

Payment Distribution

Duplicate payments, overpayments, payment to ineligible entities, vendor kickback patterns

Post-Payment Review

Pattern detection, recovery identification, network analysis, outlier flagging

Compliance & Reporting

Audit trail documentation, regulation mapping, cross-program compliance, federal reporting

50+ Fraud Vectors Across All Program Types

Billing & Claims Abuse (14 vectors)

Upcoding, unbundling, duplicate billing, phantom services, misrepresented place of service, date of service manipulation

Provider & Vendor Fraud (10 vectors)

Credential fraud, excluded entity enrollment, identity theft, kickbacks, self-referral violations, shell company networks

Beneficiary & Recipient Fraud (8 vectors)

Eligibility misrepresentation, identity fraud, duplicate enrollment across programs, out-of-state coverage

Contractor & MCO Abuse (8 vectors)

Capitation overpayment, encounter data manipulation, cost avoidance, subcontractor misuse, access standard violations

Cross-Program Fraud (6 vectors)

Multi-program double-dipping, data mismatch between agencies, benefit stacking abuse, coordinated fraud rings

System & Compliance Violations (5 vectors)

Authorization bypass, claims system abuse, data integrity violations, reporting manipulation

Detection Methodology

Pattern Recognition

Machine learning models identify statistical anomalies in claims, provider behavior, and beneficiary utilization across Medicaid, SNAP, TANF, child welfare, workforce, and housing programs. Models are trained on known fraud cases and updated weekly as new patterns emerge.

Cross-Program Correlation

We correlate data across ALL state-funded programs. A provider defrauding Medicaid is also checked against SNAP vendor data, child welfare placements, and workforce training payments. Fraud rings don't operate in one program — neither does Sentinel.

Real-Time Processing

Claims are analyzed in real-time as they arrive. Fraud is detected before payment is processed. Prevention beats recovery. We stop $1 of fraud before it costs states $5+ in recovery effort.

Revenue Recovery Intelligence

Identify underpayments, denials, and optimization opportunities across all programs

Underpayment Detection

  • Claims paid below established fee schedules and rates
  • Contractor and MCO rate correction opportunities
  • Bundling/splitting payment analysis
  • Historical rate corrections identified

Denial Management

  • Appeal-eligible denials prioritized by revenue impact
  • Denial patterns across providers and categories
  • Prior authorization and service denial analysis
  • Contractor denial appropriateness review

Fee Schedule Optimization

  • Competitive fee schedule analysis
  • Market-based rate benchmarking
  • Out-of-network rate identification
  • Quarterly rate update recommendations

Claims Optimization

  • Coding errors causing underpayment
  • Modifier utilization improvements
  • Place-of-service optimization
  • Prior authorization process improvements

Recovery Model

Sentinel identifies recovery opportunities and prioritizes them by revenue impact and actionability. HRN Group (our sister division) can handle execution—appeals, provider outreach, claims resubmission. Or states can action findings in-house with full documentation.

Typical ROI: $5-$8 recovered for every $1 spent on Sentinel oversight.

Legislative Oversight Dashboards

Real-time program integrity visibility across every funded program

Executive Dashboard

  • Fraud alerts and at-risk amounts (real-time)
  • Detection vectors active this period
  • Recovery vs. prevention split
  • Trend analysis and comparative metrics

Legislative Reporting

  • Quarterly proviso compliance updates
  • Detailed findings with regulatory citations
  • ROI and savings estimates
  • Recommendations for policy changes

Audit-Ready Documentation

  • Complete audit trails for every finding
  • Regulatory violation mapping (CMS, OIG, federal guidelines)
  • Evidence chain and supporting data
  • Federal compliance ready

Proviso Compliance Tracking

  • Expenditure vs. budget monitoring
  • Data reporting standard (MDRS) compliance
  • Outcome metrics against targets
  • Legislative request fulfillment tracking

Agency-Specific Oversight

Deep-domain monitoring capabilities tailored to each program area

Managed Care Oversight

MCO compliance monitoring, prior authorization denial tracking, observation vs. inpatient downgrades, network adequacy, encounter data completeness. Hospital claims = 6-7% of volume but 62-70% of denied dollars.

Child Welfare & Foster Care

Placement payment verification, provider licensing compliance, caseworker caseload analysis, congregate care rate audits, independent living program outcomes, Title IV-E claiming accuracy.

SNAP & Nutrition Programs

Retailer fraud detection, EBT trafficking patterns, eligibility verification against employment data, duplicate participation across states, vendor compliance monitoring.

Workforce & Unemployment Insurance

Claimant eligibility verification, employer fraud detection, training program outcome tracking, cross-state claims matching, identity verification for UI benefits.

Behavioral Health & Substance Use

Service verification against treatment plans, provider credential monitoring, outcomes-based compliance, duplicate billing across behavioral health and Medicaid, opioid treatment program oversight.

Housing & Homelessness Programs

Tenant eligibility verification, landlord payment accuracy, supportive housing outcomes tracking, coordinated entry data integrity, HUD compliance monitoring.

Why Agency-Specific Oversight Matters

Every program has unique fraud signatures, compliance requirements, and payment structures. A one-size-fits-all approach misses program-specific patterns that cost states billions. Sentinel deploys domain-specific detection models for each program area, with capabilities already proven in active state deployments.

Sentinel's agency-specific oversight capabilities are deployed today as part of active state grant programs, with measurable results: millions in recoverable revenue identified within the first year of operation.

Sentinel Architecture

Integrated 3-layer system from data to intelligence

Layer 1: Data Ingestion & Standardization

Ingest claims, eligibility, enrollment, authorization, case management, and payment data from ANY state program in any format — 837 transactions, HL7, CSV, EDI, state proprietary formats, case management exports. Standardize to common data model. Secure SFTP upload with AES-256 encryption. No system integrations or ETL middleware required.

Layer 2: AI Detection Engine

50+ vector fraud matrix applied across 8 lifecycle stages with cross-program patterns. Machine learning models trained on known fraud cases, regulatory violations, and patterns across all program types. Real-time processing as claims arrive. Risk scoring and prioritization by impact. Weekly model updates as new fraud patterns emerge.

Layer 3: Oversight Dashboards & Reporting

Executive dashboards for legislators and agency leadership. Audit-ready documentation for every finding. Quarterly legislative reporting with MDRS compliance. Proviso tracking and budget monitoring. All outputs formatted for federal oversight, state audits, and public reporting across all program areas.

Data Sources & Intelligence

We process and correlate data from the most authoritative sources

CMS & Federal Health Data

Medicare/Medicaid fraud databases, OIG exclusion lists, NPPES provider data, fee schedule corrections

State Program Systems

Claims, eligibility, enrollment, authorization, and case management data across Medicaid, SNAP, TANF, child welfare, and workforce programs

MCO & Contractor Data

Encounter data, capitation payments, subcontractor records, provider credentials, managed care fee schedules

USDA & Nutrition Data

SNAP retailer databases, EBT transaction patterns, FNS compliance data, retailer authorization records

Workforce & Labor Data

UI claims data, employer records, wage verification, training program enrollment, cross-state employment records

Policy & Regulatory Data

State program policies, CMS waiver terms, federal guidelines, managed care contracts, administrative rules

Public Data Sources

IRS 990 nonprofit filings, CMS Open Payments, OIG reports, state legislative records, SAM.gov exclusions, FPDS contracts

EDI & Remittance Data

835 ERA files, claim-to-payment reconciliation, denial reason codes, payment adjustments, EFT confirmations

Ready to Deploy Sentinel?

State and federal agencies nationwide are deploying Sentinel to detect fraud, recover revenue, hold contractors accountable, and meet oversight requirements across every funded program. Schedule a demo to see how we can serve your agency.

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