Overview

Pondera offers a comprehensive cloud solution to help you detect, investigate, and enforce fraud, waste, and abuse. Our system combines your program data with third party consumer and business data and then runs every business, beneficiary, and transaction through a series of procedural and prediction models.

The system flags transactions that violate predetermined thresholds and sends an Alert to an integrated dashboard "built by investigators, for investigators". Your program integrity staff can then analyze the lead, use our system to investigate the lead, and even create and manage a case for ongoing enforcement activities.

Solutions

Pondera's Detection Solutions are award-winning analytics solutions designed to help you detect potential fraud, waste, and abuse. They detect both individual transaction anomalies, as well as trends, patterns, and clusters that may indicate suspicious or fraudulent activities.

  • Fraud Detection

    FDaaS is our core detection solution. FDaaS ingests your program data, matches it against third party data sources, and then runs it through a series of procedural and prediction models to detect previously known and unknown anomalies and patterns.

    Our Detection Solutions are:

    • Comprehensive - Analyze every program provider, beneficiary, and transaction
    • Scalable - Proven performance on some of the country's largest programs
    • Intuitive - Designed "by our investigators for your investigators"
    • Proactive - Innovative "push analytics" sends Alerts to your staff
  • Investigation Solutions

    Pondera provides a powerful set of Investigative solutions to assist your staff when following up on specific leads.

    Our Investigative Solutions are designed to:

    • Uncover previously unknown connections - Thru network and social media analysis
    • Save you time - Automatically analyze hidden connections against massive data sets
    • Be proactive - Push Alerts to you generated by pre-programmed fraud algorithms and templates created by Pondera's investigators
  • Enforcement Solutions

    Pondera's suite of Enforcement Solutions help your investigators "finish their jobs" by automatically creating cases from the detection and analysis tools, and by providing Pondera's expert services in support of case development.

    Pondera's Enforcement Solutions are designed to:

    • Integrate with Pondera's Detection Solutions - Create cases directly from within FDaaS Scorecards and Profiles with no rekeying of data
    • Support case management - Assign, work, collaborate, resolve, and report on investigations and enforcement actions
    • Improve the detection algorithms - Feed results of investigations and prosecutions back into the detection models

Contracts

State & Local Contracts

NASPO ValuePoint

Term: through September 15, 2026


Resources

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Datasheet

Pondera Solutions was founded in 2011 with the singular focus of leveraging the power of cloud computing and advanced analytics to combat fraud, waste, and abuse in large government programs. Since that time, we have helped our clients prevent and collect hundreds of millions of dollars in improper ...

Resources

Pondera offers a comprehensive compliance and fraud detection solution for MCOs. The Pondera Dashboard analyzes claims, members, and providers for compliance and indicators of fraud. Integrated case management allows auditors and investigators to follow cases from inception to completion. Pondera's ...

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Resources
Pondera offers a comprehensive fraud, waste, and abuse solution for Medicaid programs. Healthcare fraud costs taxpayers over $80 billion each year and results in the need for innovative yet easy to use software to stay ahead of fraudsters. Pondera's Dashboard leverages agency data combined with thir...

Pondera offers a comprehensive business tax solution for tax agencies of all sizes. Tax gap issues such as unregistered and under-reporting businesses are amplified by current trends such as online remote sales transactions, the "gig" economy, and the use of sales suppression software - which result...

Pondera offers a comprehensive fraud, waste, and abuse solution for Unemployment Insurance agencies. The nationwide improper payments estimated at $50 billion a year, agencies need innovative yet easy to use software to stay ahead of fraudsters. Pondera's system leverages agency data combined with t...

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Resources
Pondera's Case Tracker is a fully-integrated investigative case tracking and management system. Case tracker imports cases from Pondera's FDaaS (Fraud Detection as a Service), or other sources, and uses workflow and rules engines to assign and route cases through your resolution process.