Shift Payment Integrity

Shift Payment Integrity

Shift Technology
+
+

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

Wisedocs' document processing platform features enable insurance companies, independent medical evaluation firms, and legal entities to process claims with more speed, accuracy, and efficiency. Automatic organized medical records by date, service provider, title, and category. Automatic page duplication saving up to 30% of your time and money processing extra pages. The administrative hurdles with medical record reviews and sorting can be a challenge. Wisedocs has made automating medical record reviews a breeze for insurance, legal, and medical firms. Wisedocs will create an organized medical record index with insights based on your custom needs. Get important insights and easily searchable and indexible records pulled from the medical record review and intelligent summary.

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

Healthcare centers looking for an Artificial Intelligence solution for insurance and legal medical records

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/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

Wisedocs
Founded: 2018
Canada
www.wisedocs.ai

Alternatives

Alternatives

Shift Claims

Shift Claims

Shift Technology
Ahshay

Ahshay

DataCare
Alaffia

Alaffia

Alaffia Health

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
Claim Wisedocs and update features and information
Claim Wisedocs and update features and information