- Healthcare Fraud Shield (HCFS), based in Chesterfield, Missouri, is a leader in payment integrity solutions, specializing in preventing fraud, waste, abuse, and error (FWAE) in healthcare claims through advanced AI-driven technology.
- In November 2025, HCFS launched RecordPlus™, an AI-powered solution designed to streamline medical record reviews and combat improper payments by transforming unstructured medical records into actionable intelligence.
- HCFS serves top commercial payers and has established partnerships that enhance its capabilities in auditing and claims management, significantly improving recovery rates for clients.
- The ideal buyer for HCFS is healthcare insurers and government programs facing challenges with payment integrity, as the recent Executive Order 14395 emphasizes the need for enhanced fraud prevention measures, making HCFS's solutions increasingly relevant.
Healthcare Fraud Shield employs a diverse workforce across ten departments, with the largest being Information Technology and Operations, each comprising 10 employees. Engineering follows with 7 employees, while the Executive team consists of 6 members. This distribution reflects a balanced functional mix, supporting both technical and operational capabilities essential for the company's growth in the healthcare software sector.
The company operates across 18 locations, with Chesterfield, Missouri, housing the largest concentration of employees at 8. Other locations include Des Moines, IA, El Segundo, CA, and several others, each contributing a single employee. The significant 'Other' category, accounting for 26 employees, indicates a distributed workforce model, enhancing the company's reach and operational flexibility across various regions.
