Shift Payment Integrity

Shift Payment Integrity

Shift Technology
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About

Exceeds AI is a performance-intelligence platform built for engineering teams that captures and analyzes real code work, collaboration data, and AI-assisted coding activity to deliver actionable insights. It tracks both individual and team-level metrics, including code contributions, issue or ticket updates, meeting transcripts, reviews, and AI-tool usage, and surfaces a “living profile” for each engineer showing strengths, growth opportunities, and real-time performance trends. It doesn’t rely solely on metadata: it inspects actual code and workflow changes to identify where AI helps accelerate delivery, where it introduces friction, and under what conditions quality or velocity suffer. Whenever anomalies or risky patterns are detected, such as subpar AI-assisted changes or workflow bottlenecks, Exceeds flags them, prioritizes the most important issues, provides root-cause analysis, and delivers tailored recommendations on how to improve.

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

Engineering managers, software teams, and individual developers looking for a tool to track, measure, and optimize how they use AI and coding tools

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

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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

Exceeds
Founded: 2024
United States
www.exceeds.ai/

Company Information

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

Alternatives

Alternatives

Shift Claims

Shift Claims

Shift Technology
Alaffia

Alaffia

Alaffia Health
MarvelX AI

MarvelX AI

MarvelX.ai

Categories

Categories

Integrations

No info available.

Integrations

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