Shift Claims

Shift Claims

Shift Technology
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+

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About

PwC SMART (Systematic Monitoring and Review Technology) increases the efficiency and effectiveness of your inpatient and outpatient coding quality evaluation process, and enables a mechanism for quality and compliance review. Coupled with the support provided by PwC Health Information Advisory, SMART bolsters your efforts to monitor coding and data quality. SMART Inpatient includes 1,000+ pre-defined business rules that identify potential coding inaccuracies and documentation improvement opportunities. You can also customize business rules for your specific areas of focus. Reporting and data analysis help you evaluate your staff’s performance and pinpoint education opportunities for Coding, Clinical Documentation Improvement (CDI), Quality and Providers. SMART Outpatient improves the accuracy of claims and identifies charge capture issues and areas for workflow improvements. It also improves regulatory compliance by decreasing the risks caused by inaccurate coding.

About

Shift Technology’s Claims solution uses Agentic AI to transform how insurers handle claims from start to finish. It combines automation with human collaboration to assess, triage, advise, and process claims across both simple and complex cases. Shift’s AI Agents are trained with insurance expertise and continuously learn through its “insurance common sense layer.” They handle tasks like policy coverage review, liability evaluation, fraud detection, and damage assessment. Seamlessly integrated with existing claims systems, the platform ensures no disruption while improving efficiency and accuracy. The result is faster resolution, lower costs, and better customer satisfaction for insurers and policyholders alike.

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

Organizations requiring a solution to increase the efficiency and effectiveness of their coding quality evaluation processes

Audience

Shift Claims is ideal for insurers, claims leaders, and innovation teams seeking to leverage AI and automation to streamline claims management, improve accuracy, and enhance customer satisfaction

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

No images available

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

PwC
Founded: 1998
United Kingdom
www.pwc.com/us/en/products/smart.html

Company Information

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

Alternatives

Alternatives

CoreLogic Claims Connect

CoreLogic Claims Connect

CoreLogic Australia
ClaimsXPress

ClaimsXPress

Insurity
Guidewire ClaimCenter

Guidewire ClaimCenter

Guidewire Software
SmartCare EHR

SmartCare EHR

Streamline Healthcare Solutions

Categories

Categories

Integrations

No info available.

Integrations

No info available.
Claim PwC SMART and update features and information
Claim PwC SMART and update features and information
Claim Shift Claims and update features and information
Claim Shift Claims and update features and information