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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 ShiftManager?

RPMGlobal's ShiftManager facilitates immediate short-term planning and execution, allowing for precise measurement, organization, and reporting of tasks. Every department can access a unified web-based plan, ensuring transparency across the board. Available in online, offline, and mobile formats, ShiftManager empowers mining companies to plan, assess, and enhance every aspect of their operations. As the focus in mining shifts from merely moving materials to efficiently gathering, analyzing, and utilizing information, ShiftManager supports this transition by providing a collaborative platform for communication and teamwork. With real-time updates, users can adapt quickly and effectively to changes that occur during shifts, enhancing overall operational responsiveness. This tool ultimately helps organizations leverage data to optimize their material handling processes.

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

RPMGlobal

Date Founded

1968

Company Location

Australia

Company Website

rpmglobal.com/product/shift-manager/

Categories and Features

Categories and Features

Mining

3D Modeling
Cross Section Creation
Data Exchange
Data Storage
Exception Notification
Fence Diagrams
Log Map Creation
People Tracking
Pit Optimization Reporting
Risk Management
Volumetrics

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