Health Care Fraud Investigations

Investigative support for insurers, claims professionals, employers, and legal teams reviewing healthcare-related claims, billing concerns, and suspected fraud.

Healthcare records and technology used in investigative review

Professional

Experienced investigative support built around the assignment.

Discreet

Sensitive matters handled with confidentiality and care.

Actionable

Clear communication and organized reporting for decision-makers.

Focused Investigation for Complex Healthcare-Related Matters

Healthcare-related investigations can involve overlapping records, claim activity, providers, individuals, and field information. GSI provides investigative support based on the specific questions presented by the client.

Assignments can include research, field investigation, surveillance, and documentation depending on the scope and circumstances.

Investigation Support Can Include

  • Healthcare-related claim investigation
  • Background and investigative research
  • Surveillance and field observations
  • Provider or claimant-related fact development
  • Support for claims and legal teams

A Clear, Professional Process

1. Discuss the Matter

Share the objective, timing, and known details.

2. Define the Scope

We establish an appropriate investigative approach.

3. Conduct the Assignment

Work is handled discreetly within the agreed scope.

4. Receive Reporting

Receive organized documentation and relevant findings.

Why George Scheld Investigations?

  • 35+ years of investigative experience
  • Licensed and bonded investigative firm
  • Discreet handling of sensitive assignments
  • Clear client communication
  • Professional documentation and reporting

Discuss a Health Care Investigation

Tell us what you need. We’ll review the matter and follow up about scope, timing, and next steps.

Contact Us Form

Prefer to speak directly? Call 631-360-1380.