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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 Broniec?

AUDITMAX® is our distinctive software that has been painstakingly developed over the course of nearly fifty years and is consistently refreshed to incorporate the latest trends, categories, and technological innovations. This state-of-the-art platform is continuously enhanced through learnings from thousands of audits, which enables it to identify more overpayments by cross-referencing our extensive supplier database with your payment histories, thus distinguishing us from our competitors. By combining our extensive expertise with cutting-edge technology, we provide exceptional results and higher returns for our clients. At Broniec, we understand that technology should do more than just produce reports; our auditors are skilled at utilizing our sophisticated tools to uncover potential overpayment discrepancies while proactively examining your systems and documents to extract even greater insights. By thoroughly analyzing the data, we can recover larger sums of money on your behalf. We guarantee that you receive detailed documentation, an understanding of overpayment sources, identification of root causes, and real-time updates on recovery, ensuring that our service is both comprehensive and transparent. Ultimately, our commitment to innovation and client satisfaction drives us to continuously enhance our offerings for the benefit of those we serve.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

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

Broniec

Company Location

United States

Company Website

www.broniec.com/our-technology/

Categories and Features

Categories and Features

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