Shift Payment IntegrityShift Technology
|
ThreadseerWittenauer Software
|
|||||
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
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/
|
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 InformationWittenauer Software
Founded: 2026
United States
wittenauersoftware.com/threadseer/
|
|||||
Alternatives |
Alternatives |
|||||
|
|
||||||
|
|
||||||
Categories |
Categories |
|||||
Integrations
Microsoft Power BI
|
||||||
|
|
|