Shift Payment Integrity

Shift Payment Integrity

Shift Technology
+
+

Related Products

  • Order.co
    224 Ratings
    Visit Website
  • Rippling
    18,672 Ratings
    Visit Website
  • Visual Visitor
    250 Ratings
    Visit Website
  • SBS Quality Management Software
    7 Ratings
    Visit Website
  • Apryse PDF SDK
    153 Ratings
    Visit Website
  • DirectMail2.0
    7 Ratings
    Visit Website
  • TrafficGuard
    89 Ratings
    Visit Website
  • ULTATEL
    108 Ratings
    Visit Website
  • PackageX OCR Scanning
    46 Ratings
    Visit Website
  • TrustInSoft Analyzer
    6 Ratings
    Visit Website

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.

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.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Companies and enterprises looking for a solution to create and manage reports, and handle overpayments

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

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Broniec
United States
www.broniec.com/our-technology/

Company Information

Shift Technology
Founded: 2013
France
www.shift-technology.com/products/payment-integrity

Alternatives

Alaffia

Alaffia

Alaffia Health

Alternatives

Alaffia

Alaffia

Alaffia Health
Virtual Examiner

Virtual Examiner

PCG Software
Venue Claims Management

Venue Claims Management

KLJ Computer Solutions

Categories

Categories

Integrations

No info available.

Integrations

No info available.
Claim Broniec and update features and information
Claim Broniec and update features and information
Claim Shift Payment Integrity and update features and information
Claim Shift Payment Integrity and update features and information