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What is Shift Payment Integrity?

Shift’s Payment Integrity presents a sophisticated AI-enhanced solution specifically designed for health plans, focusing on improving accuracy while reducing costs in the claims payment process. This cutting-edge tool functions effectively in both the pre-payment and post-payment stages, allowing plan administrators to detect potential problems early and recover overpayments with ease. Key features include dynamic claims editing with up-to-date rules, AI-assisted examinations of medical records, identification of anomalies, as well as fraud, waste, and abuse, along with the incorporation of external data for a more thorough analysis. The system is built to adapt to evolving policies and guidelines, featuring automated policy evaluations and an edit logic workbench that permits health plans to test ideas before full implementation. Furthermore, it offers clear flags and alerts that inform reviewers of the reasons behind claim flagging, speeds up document reviews by highlighting crucial sections of records, and uses data mining techniques to reveal emerging patterns. In addition, the platform provides a unified case management interface that optimizes investigative workflows, driving greater operational efficiency for health plans. Ultimately, this innovative solution empowers health plans to navigate the complexities of the claims process more effectively.

What is Bevaya?

Bevaya is an insurance-focused AI agent platform designed to automate document-heavy workflows across underwriting, claims, and policy servicing. The system sits on top of existing insurance software and uses specialized agents to interpret documents, extract data, analyze information, recommend actions, and push results into operational systems. Underwriting capabilities include submission intake, loss run processing, policy comparisons, and automated extraction from ACORD forms, supplemental applications, and other submission documents. Claims capabilities include FNOL and FROI setup, claim indexing, document routing, summaries, and preparation of materials such as legal demands and medical bills for adjusters. Policy servicing workflows can automate certificate of insurance generation, endorsements, premium audits, policy verification, and other recurring service requests. Bevaya also provides document intelligence for classifying and structuring unstructured insurance content before it moves into downstream workflows. Its AI is powered by InsurGPT, which the company says has been trained on more than 300 million insurance documents and deployed across more than 120 production workflows. Human-in-the-loop controls allow insurance teams to review decisions, exceptions, and recommendations before sensitive actions are finalized. Grounded explainability and responsible AI features are designed to help organizations understand how outputs were produced and maintain governance over automated processes. Workflow Canvas, integrations, implementation services, and an AI agent library help teams configure and deploy use cases without replacing their existing core platforms. Bevaya is designed for insurers, brokers, and TPAs that want to use AI agents to reduce manual work, increase processing speed, improve consistency, and modernize insurance operations.

Media

Media

Integrations Supported

Guidewire
Guidewire ClaimCenter

Integrations Supported

Guidewire
Guidewire ClaimCenter

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

Pricing Information

Pricing not provided
Free Version
Free Trial Offered?

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Shift Technology

Date Founded

2013

Company Location

France

Company Website

www.shift-technology.com/products/payment-integrity

Company Facts

Organization Name

Bevaya

Date Founded

2018

Company Location

United States

Company Website

www.bevaya.ai/

Categories and Features

Categories and Features

Insurance Underwriting and Rating

Broker / Agent Portal
Carrier Upload
Commercial Lines
Comparative Insurance Rating
Customer Portal
For Casualty Insurance
For Health / Medical Insurance
For Life Insurance
For Personal Insurance
Multi-State
Multiple Line Rating

P&C Insurance

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management

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