Shift Payment Integrity

Shift Payment Integrity

Shift Technology
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About

Facio provides AI-native software infrastructure for specialty insurance organizations, including MGAs. Our platform, FacioMGA, supports the policy lifecycle: submission intake, risk classification, underwriting, quoting, binding, policy issuance, endorsements, billing, commissions, compliance, reporting, renewals and integrations. Customers configure products, rating rules, eligibility criteria, workflows, documents and permissions without rebuilding technology for each program. Facio offers standalone solutions for surplus-lines tax and fee calculation, SIC/NAICS classification, sanctions screening, actuarial operations and automated carrier-declination workflows. Our Org2vec technology creates an evidence-backed memory by connecting policies, contracts, financial records, assets, suppliers, cybersecurity systems and operational data, while Facio Eigen provides a zero-trust control layer that applies permissions, rules, approvals and audit trails to AI-assisted decisions and actions.

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

Facio benefits MGAs, insurers, brokers, reinsurers, government agencies and other regulated organizations seeking to replace fragmented legacy systems and manual processes with configurable, auditable and securely governed AI-powered infrastructure.

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

No images available

Screenshots and Videos

Pricing

$65/mo./user + cloud
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

Facio
Founded: 1600
United States
www.facio.io

Company Information

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

Alternatives

Alternatives

AUSIS

AUSIS

Artivatic.ai
Shift Claims

Shift Claims

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Shift Payment Integrity

Shift Payment Integrity

Shift Technology
Alaffia

Alaffia

Alaffia Health
MarvelX AI

MarvelX AI

MarvelX.ai

Categories

Categories

Integrations

No info available.

Integrations

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