I-CAPS

I-CAPS

W.O. Comstock & Associates
Shift Subrogation

Shift Subrogation

Shift Technology
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About

I-CAPS is an Intelligent Claims Administration System that addresses all functional areas of the health claims payment environment with a single common architecture that spans the needs of payers including membership, billing, enrollment, mailroom, claims, network management, contracting, pricing, utilization review and customer service. Our Intelligent Claims Administration System (I-CAPS) and our coding compliance software (Advanced Value Scale-AVS) , support knowledge-based decision-making to help our clients contain costs. Guaranteeing the integrity of Provider information has never been easier with (Advanced Network Administrator-ANA) while our (RB-UCR) is the industry's first Resource-Based, Usual Customary, and RESPONSIBLE fee schedule based on RBRVS and NCCI. Need a check-up for your plan or provider, use Cost Containment Audit and Recovery Services (CCARS) for a completely noninvasive audit retrospective look at claims effectiveness.

About

Shift Subrogation is an AI-powered SaaS product that automatically identifies, scores, and surfaces subrogation recovery opportunities for insurance companies, especially in the Property & Casualty (P&C) domain. Using a combination of structured data (policy, claim, exposures) and unstructured text (loss descriptions, adjuster notes), generative AI and other models assess liability, apply relevant state/negligence law, compare exposures, take into account statute of limitations and jurisdiction rules, and reference external data sources (e.g., product recalls). It generates alerts with a score and rationale for each recovery opportunity, so handlers know not just which cases to pursue but why. The system supports continuous monitoring of claims as they evolve (for example, recognizing new information added later) and updates alerts if the recoverability changes.

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 searching for an intelligent claims administration system solution

Audience

Insurance claims teams, subrogation specialists, and executives seeking a tool to increase recoveries, reduce manual work, and make more consistent, data-driven decisions across large claims portfolios

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

W.O. Comstock & Associates
www.amrhealth.com

Company Information

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

Alternatives

Enterprise Health Solution

Enterprise Health Solution

HM Health Solutions

Alternatives

Direct Claim Solution

Direct Claim Solution

Innovative Computer Systems
Virtual Examiner

Virtual Examiner

PCG Software
MediClaims

MediClaims

WLT Software
Virtual Examiner

Virtual Examiner

PCG Software

Categories

Categories

Claims Processing Features

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Integrations

No info available.

Integrations

No info available.
Claim I-CAPS and update features and information
Claim I-CAPS and update features and information
Claim Shift Subrogation and update features and information
Claim Shift Subrogation and update features and information