Shift Payment Integrity

Shift Payment Integrity

Shift Technology
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+

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About

Dramatically reduce your manual processes with intelligent document and image processing for instant underwriting and risk calculation. Automate your claims process from start to finish, with immediate document and image validation, rules engine, alerts and outreach. With our platform, you can release end-to-end data pipelines for claims processing, underwriting, data enrichment, and telematics at the click of a button. We revolutionize data-driven operations by offering seamless access, analysis, and action on real-time data. Our advanced AI capabilities enable straight-through processing, eliminating manual intervention and ensuring faster, more accurate outcomes while reducing fraud and bad data. Our platform enables straight-through underwriting by leveraging AI to process documents, streamlining the process and accelerating time-to-market.

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

Businesses looking for a data platform for composable underwriting

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

Inaza
Founded: 2020
Ireland
www.inaza.com

Company Information

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

Alternatives

Alternatives

Alaffia

Alaffia

Alaffia Health
INSILLION

INSILLION

GoDB Tech
Shift Claims

Shift Claims

Shift Technology
Assurant APEX

Assurant APEX

Assurant

Categories

Categories

Integrations

No info available.

Integrations

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