Shift Payment IntegrityShift Technology
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Related Products
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About
AUDITMAX® is our proprietary software developed over 48 years of history and experience, and is constantly enhanced to encompass the latest trends, categories, and technology. This innovative technology is continuously refined from the thousands of audits we have performed and identifies more overpayments by comparing our supplier database against your payments. This is a difference that others can’t match. We combine our extensive experience with our cutting edge technology, to provide our clients with better results and higher returns. At Broniec, technology is not just creating reports. Our auditors are skilled at using our state of the art technology to provide clues about overpayments and then take it a step further by digging into your systems and documents to uncover additional findings. Digging deeper is how we uncover and recover more money for you. Access to supporting documentation, overpayment sources, root cause, and recovery status.
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About
Shift’s Payment Integrity is an AI-powered solution for health plans designed to improve accuracy and reduce costs in the claims payment process. It works both pre-payment (before claims are paid) and post-payment, helping plan administrators catch issues early and recover overpayments. Key features include claims editing (with updated, dynamic rules), generative AI-assisted medical record review, anomaly & fraud/waste/abuse detection, and external data enrichment for deeper context. The system supports evolving policy and guideline changes, allowing automated policy analysis and edit logic workbench features so health plans can test concepts before deployment. It provides explainable flags/alerts (so reviewers understand why claims are flagged), tools to accelerate document review, highlighting relevant parts of records, data mining for emerging trends, and a unified case management UI for investigative workflows.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Companies and enterprises looking for a solution to create and manage reports, and handle overpayments
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Audience
Health plan administrators and healthcare organizations in need of a tool to reduce improper payments, detect emerging fraud and billing errors, and improve claims workflows
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationBroniec
United States
www.broniec.com/our-technology/
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Company InformationShift Technology
Founded: 2013
France
www.shift-technology.com/products/payment-integrity
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Categories |
Categories |
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Integrations
No info available.
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Integrations
No info available.
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