Shift Payment IntegrityShift Technology
|
||||||
Related Products
|
||||||
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.
|
About
Simplifai is an AI automation platform that streamlines business operations by automating complex processes, particularly in sectors like banking, finance, insurance, and the public sector. It offers solutions for document handling, customer service, and claims processing, utilizing advanced AI technologies to reduce manual effort and increase accuracy. It enhances customer support by automating responses and managing inquiries efficiently. Adhering to GDPR and ISO/IEC 27001:2013 standards, Simplifai ensures robust data security and compliance. Its AI agents are designed to address challenges such as increasing operational costs, low customer satisfaction, and scalability issues, delivering fast and accurate service while reducing errors. Simplifai provides a 360-degree view of claims, policies, and accounts, improving customer service and vendor management. By leveraging Simplifai, organizations can ensure accurate financial records, minimize manual work, etc.
|
|||||
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
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
|
Audience
Businesses in banking, finance, insurance, and public sectors needing a solution to automate complex processes and enhance operational efficiency
|
|||||
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/
|
Reviews/
|
|||||
Training
Documentation
Webinars
Live Online
In Person
|
Training
Documentation
Webinars
Live Online
In Person
|
|||||
Company InformationShift Technology
Founded: 2013
France
www.shift-technology.com/products/payment-integrity
|
Company InformationSimplifai
Founded: 2017
Norway
www.simplifai.ai/
|
|||||
Alternatives |
Alternatives |
|||||
|
|
||||||
|
|
||||||
|
|
|
|||||
Categories |
Categories |
|||||
Integrations
No info available.
|
Integrations
No info available.
|
|||||
|
|
|