Shift Payment Integrity

Shift Payment Integrity

Shift Technology
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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.

About

Strada is the AI phone agent purpose-built for insurance teams. Carriers, MGAs, and brokers use Strada to scale thousands of inbound and outbound calls (from renewals and claims to quote intake, FNOL, and policy servicing) without adding headcount. Customers get 24/7 service with zero hold time, while your team focuses on closing business and building relationships. What Strada does best: - Handles renewals, FNOL, claims, and policy servicing automatically - Provides 24/7 availability with no hold time - Scales to thousands of calls instantly - Frees up agents to focus on sales and service Strada is a complete insurance automation platform. By removing call bottlenecks and eliminating post-call busywork, it drives retention, accelerates claims, prevents policy lapses, and ensures customers are served faster and smarter.

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

Strada is built for insurance companies, brokers, and MGAs that handle lots of customer phone calls. It helps them automate renewals, claims, and policy service calls so customers get instant 24/7 support while teams focus on sales and relationships.

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

Custom pricing
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

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

Company Information

Strada
Founded: 2023
United States
www.getstrada.com

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Nuvento

Categories

Categories

Integrations

No info available.

Integrations

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