Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • Service Center Reviews & Ratings
    93 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    5 Ratings
    Company Website
  • PayHOA Reviews & Ratings
    602 Ratings
    Company Website
  • Order.co Reviews & Ratings
    210 Ratings
    Company Website
  • XpertCoding Reviews & Ratings
    42 Ratings
    Company Website
  • RedFlag Reviews & Ratings
    128 Ratings
    Company Website
  • Elation Health Reviews & Ratings
    85 Ratings
    Company Website
  • Buildxact Reviews & Ratings
    233 Ratings
    Company Website
  • Predict360 Reviews & Ratings
    18 Ratings
    Company Website
  • Caller ID Reputation Reviews & Ratings
    22 Ratings
    Company Website

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 Quadient Correspondence?

Quadient® Correspondence is an innovative cloud-based platform designed to simplify the management of claims correspondence for insurance providers. This subscription-based software as a service (SaaS) solution enables users to create, validate, and distribute customized claims documents that adhere to regulatory requirements in both print and digital formats, eliminating the need for extensive IT assistance. Specifically crafted for insurance firms that seek to advance their digital transformation without incurring the costs associated with a full-fledged customer communications management (CCM) system, it allows business analysts to efficiently design and adjust templates. Claims managers and compliance experts are integral to the process, as they are responsible for reviewing and approving these templates before they are utilized. The platform features an intuitive interface that empowers business professionals to produce correspondence by choosing appropriate templates and modifying the content within specified fields. Moreover, designated team members oversee the review and approval of the correspondence to ensure it is promptly sent out via email, PDF, or SMS, thereby facilitating timely interactions with clients. This streamlined approach not only enhances operational efficiency and compliance but also allows insurers to connect with their customers in a more effective manner, ultimately improving overall communication strategies. By prioritizing user experience and regulatory adherence, Quadient® Correspondence stands out as a valuable tool in the insurance industry's digital landscape.

Media

Media

Integrations Supported

Adobe Acrobat

Integrations Supported

Adobe Acrobat

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

Quadient

Date Founded

1924

Company Location

United Kingdom

Company Website

po.quadient.com/en/products/quadient-correspondence

Categories and Features

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Customer Communications Management

Batch Communications
Chat / Messaging
Content Management
Email Distribution
Interactive Content
Multi-Channel Communications
On-Demand Communications
Personalization
Print Management
Template Management
Video Content

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

Popular Alternatives

Alaffia Reviews & Ratings

Alaffia

Alaffia Health

Popular Alternatives

CCM Platform Reviews & Ratings

CCM Platform

Azuba Corporation
Virtual Examiner Reviews & Ratings

Virtual Examiner

PCG Software
Guidewire ClaimCenter Reviews & Ratings

Guidewire ClaimCenter

Guidewire Software
Venue Claims Management Reviews & Ratings

Venue Claims Management

KLJ Computer Solutions
FileTrac Evolve Reviews & Ratings

FileTrac Evolve

Evolution Global