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
    72 Ratings
    Company Website
  • Cloud Claims Reviews & Ratings
    11 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    5 Ratings
    Company Website
  • Elation Health Reviews & Ratings
    72 Ratings
    Company Website
  • Quaeris Reviews & Ratings
    6 Ratings
    Company Website
  • Guardz Reviews & Ratings
    56 Ratings
    Company Website
  • Predict360 Reviews & Ratings
    18 Ratings
    Company Website
  • tigerlab Reviews & Ratings
    11 Ratings
    Company Website
  • AgeChecker.Net Reviews & Ratings
    Company Website
  • Adobe PDF Library SDK Reviews & Ratings
    35 Ratings
    Company Website

What is Sumex?

Efficient verification methods, paired with expert knowledge and a high degree of automation, greatly reduce the costs associated with voucher transactions. Central to this operation is Sumex Core, which underpins the automated validation of electronic invoices. This platform features modular business components and workflows that can be tailored to meet diverse requirements. Having current and precise tariff and reference data is vital for successful invoice validation. Sumex collects this reference information from publicly available sources, processes it quickly, and provides access through the Sumex tariff server. In addition, this data is presented in a user-friendly information system, enabling professionals to consult it during the invoicing process. The DRG Expert tool improves the management of billing for acute care services, ensuring compliance with SwissDRG standards. It not only organizes case data according to these regulations but also incorporates key statistical measures and allows for scenario analysis to enhance decision-making. By adopting this thorough methodology, all parties involved are equipped with essential resources to uphold precision and efficiency in their billing operations, fostering a more effective financial ecosystem.

What is Shift Claims Document Decisions?

Optimize the workflow of document processing by removing unnecessary delays and complexities while bolstering initiatives for seamless processing. Shift Claims Document Decisions is a cutting-edge AI solution that meticulously analyzes documents to extract relevant information and create a contextual summary of the actions required to progress claims. Our algorithms are crafted specifically for insurance documents, allowing for an analysis that matches or surpasses the accuracy of experienced human claims adjusters. This system enables the automatic evaluation of documents against existing data, building a thorough understanding of each claim and accelerating the processing timeline. The AI, tailored for the insurance industry, continuously adapts, integrating claims information with document insights to generate decisions that profoundly affect claims results. By minimizing the reliance on manual reviews, the technology skillfully detects intricacies and directs handlers to focus on particular elements of claims that need attention. Our strong dedication to the insurance industry inspires us to attract and retain exceptional talent, ensuring our clients receive unmatched assistance and expertise throughout their claims processing experience. In the end, this innovation not only boosts efficiency but also significantly enhances customer satisfaction, creating a win-win scenario for all stakeholders involved.

Media

Media

Integrations Supported

Siddhartha

Integrations Supported

Siddhartha

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

Sumex

Date Founded

2019

Company Website

www.sumex.ch/en/Sumex-Suite

Company Facts

Organization Name

Shift

Date Founded

2013

Company Location

United States

Company Website

www.shift-technology.com/products/claims-document-decisions

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

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

Popular Alternatives

Popular Alternatives

Context 4 Health Plans Suite Reviews & Ratings

Context 4 Health Plans Suite

Context4 Healthcare
Claims Software Reviews & Ratings

Claims Software

Claim Ruler
Virtual Examiner Reviews & Ratings

Virtual Examiner

PCG Software
Cloud Claims Reviews & Ratings

Cloud Claims

APP Tech
eobXL Reviews & Ratings

eobXL

Optiform