Risk AnalystIntellect Design Arena
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Shift Payment IntegrityShift Technology
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Related Products
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About
View relevant data and get alerts about a company from internal and external sources including financial and operations, competitors, legal filings, industry and associations. Find relevant insurance details about individuals or businesses like workers compensation, commercial auto, commercial property, general liability and BOP, and get relevant alerts for a given location. Gather social intelligence using Big Data; get a comprehensive picture of a person’s profile and relevant alerts based on analysis of key people associated with a business and its legal filings. In 5 steps, RA empowers you with relevant data, so you can make the best decision. Reddit, Glassdoor, Yelp, Quora, Wikipedia, Facebook, LinkedIn, Angie’s List, Time Out and thousands more. Better Business Bureau, Pitney Bowes, Google Places and many more. Billing, policy, claims, data warehouse.
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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.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Enterprises in need of a solution to improve underwriting decisions using enhanced risk analysis
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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
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationIntellect Design Arena
Founded: 2014
India
www.intellectdesign.com/insurance/risk-analyst-solution/
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Company InformationShift Technology
Founded: 2013
France
www.shift-technology.com/products/payment-integrity
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Categories |
Categories |
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Commercial Insurance Features
Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Policy Management
Quote Management
Reinsurance Administration
Risk Assessment
Underwriting Management
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Integrations
Facebook
Glassdoor
LinkedIn
MyRepChat
Quora
Reddit
Yelp
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