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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 Overjet?

Streamlining and accurately assessing claims is essential for maintaining real-time payment integrity, which guarantees that each claim is processed swiftly and for the correct amount. This process supports healthcare providers in delivering exceptional care by automating administrative tasks and identifying key growth opportunities within their practices. We are thrilled to open several positions for dentists, computer vision specialists, and software developers, inviting you to help us create a substantial impact on the lives of countless individuals. Transitioning from labor-intensive and inconsistent claim evaluations to a fully automated and efficient system revolutionizes the examination of each claim. By moving from a reactive recovery method to a proactive prevention strategy, we ensure that payments are both accurate and timely. Moreover, we aim to boost dentists' productivity through automated charting, error detection in coding and billing, and the establishment of thorough diagnostic and treatment protocols for all patient visits, ultimately driving innovation within the healthcare landscape. This initiative not only streamlines operations but also enhances the quality of care provided to patients.

Media

Media

Integrations Supported

Denticon

Integrations Supported

Denticon

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

Overjet

Date Founded

2018

Company Location

United States

Company Website

www.overjet.ai/

Categories and Features

Categories and Features

Dental Imaging

2D Imaging
Calibration Management
Data Import / Export
Image Analysis
Treatment Planning
Video Support

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