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Ratings and Reviews 0 Ratings
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What is SimpleInspire?
Smart Automation greatly enhances productivity for users involved in client servicing tasks. By minimizing manual tasks, it creates a more favorable experience for both users and their clients. Rather than linking annual system expenses to the performance of your business, we strategically align these costs with the services we provide. Our platform facilitates thorough management of the entire policy lifecycle, handling various transactions, including rating, validation, quoting, binding, issuance, and modifications. It comes equipped with a strong double-entry accounting structure to manage all financial transactions associated with policies and claims effectively. A feature for real-time policy coverage verification is also included, which aids in the meticulous management of reserves, loss payments, and expenses at a detailed claims level. Policyholders can easily verify their coverage, print policy documents, track claim statuses, review their accounts, and make payments. The application boasts a variety of pre-built integrations, such as Payment Gateway, Replacement Cost Valuation, Insurance Credit Scores, Motor Vehicle Records, and eSignatures. Furthermore, a mobile application is available to enable field adjusters to effortlessly upload assessments and photos into the claims system, thereby further optimizing the claims process. This technological integration not only streamlines operations but also fosters improved communication and efficiency throughout the organization, ultimately delivering a superior service experience. As a result, businesses can focus on growth while relying on automated solutions to handle routine tasks effectively.
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.
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
SimpleSolve
Company Location
United States
Company Website
www.simplesolve.com
Company Facts
Organization Name
Shift Technology
Date Founded
2013
Company Location
France
Company Website
www.shift-technology.com/products/payment-integrity
Categories and Features
Insurance Agency
Claims Management
Commission Management
Contact Management
Document Management
Insurance Rating
Life & Health
Policy Management
Property & Casualty
Quote Management