Shift Payment Integrity

Shift Payment Integrity

Shift Technology
Threadseer

Threadseer

Wittenauer Software
+
+

Related Products

  • Predict360
    18 Ratings
    Visit Website
  • Service Center
    123 Ratings
    Visit Website
  • Macaw AMS
    8 Ratings
    Visit Website
  • Healthee
    13 Ratings
    Visit Website
  • PayHOA
    815 Ratings
    Visit Website
  • Zahara
    34 Ratings
    Visit Website
  • Order.co
    228 Ratings
    Visit Website
  • FinOpsly
    3 Ratings
    Visit Website
  • RouteGenie
    49 Ratings
    Visit Website
  • XpertCoding
    42 Ratings
    Visit Website

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

Threadseer is a process mining and process intelligence visual built directly for Microsoft Power BI. It transforms event-log data into interactive process maps and provides variant analysis, bottleneck analysis, rework detection, conformance analysis, driver analysis, case-level investigation, and process performance metrics. Users can explore process paths, identify delays and repeated activities, compare variants, investigate individual cases, and analyze the factors associated with process outcomes without leaving their Power BI reports. Threadseer performs its analysis within the Power BI environment, allowing organizations to add process mining to existing analytics workflows without deploying a separate process mining platform. A free Community edition is available for datasets of up to 25,000 input events.

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

Organizations using Microsoft Power BI that want to analyze and improve business processes, including process improvement teams, operational excellence teams, business analysts, BI and data analysts, consultants, and operations leaders across industries such as healthcare, financial services, manufacturing, HR, and shared services.

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

$20/month/user
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

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

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

Wittenauer Software
Founded: 2026
United States
wittenauersoftware.com/threadseer/

Alternatives

Alaffia

Alaffia

Alaffia Health

Alternatives

mindzie

mindzie

mindzie, inc.
Shift Claims

Shift Claims

Shift Technology

Categories

Categories

Integrations

Microsoft Power BI

Integrations

Microsoft Power BI
Claim Shift Payment Integrity and update features and information
Claim Shift Payment Integrity and update features and information
Claim Threadseer and update features and information
Claim Threadseer and update features and information