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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 Hypertune?

Hypertune is a remarkably flexible platform that specializes in the management of feature flags, A/B testing, analytics, and application configuration. It boasts a robust architecture that ensures end-to-end type safety and incorporates a version control system inspired by Git, along with the ability to conduct local, synchronous, in-memory evaluations of flags. You can create type-safe, customized input parameters like the current User or Organization to refine feature flag rules, which helps in precisely targeting the intended audience. Additionally, the platform supports the development of reusable variables, such as user segments, which can be applied across different feature flags, thereby simplifying the debugging process for specific users. Hypertune offers an array of options including A/B testing, percentage-based rollouts, multivariate tests, and machine learning loops, enabling a seamless process for rolling out, testing, and optimizing new features. You also have the capability to log analytics events using type-safe custom payloads and can generate dynamic funnels and charts on the dashboard for evaluating the impact of each feature release. Furthermore, the SDK allows for initialization with only the essential feature flags, permitting partial evaluations of flag logic at the edge, which significantly boosts both performance and security. This diverse set of features positions Hypertune as an exceptional tool for developers who are eager to innovate and enhance their applications, ensuring they can adapt swiftly to changing requirements. With its user-friendly interface and powerful functionality, Hypertune empowers teams to make informed decisions based on real-time data.

Media

Media

No images available

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

$0
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

Hypertune

Company Location

United Kingdom

Company Website

www.hypertune.com

Categories and Features

Categories and Features

Feature Management

A/B Testing
Entitlement Management
Feature Alerts
Feature Flag / Toggle
Feature Rollout Management
KPI Monitoring
Kill Switch
Multivariate Testing
Product Experimentation
Whitelist Creation

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