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Description
AUDITMAX® represents our unique software, shaped by nearly five decades of expertise and continuously improved to stay aligned with emerging trends, categories, and technologies. This groundbreaking tool is perpetually enhanced through insights gained from thousands of audits we've conducted, enabling it to detect a greater number of overpayments by cross-referencing our supplier database with your payment records. Such a capability sets us apart from our competitors. We blend our vast experience with advanced technology to deliver superior outcomes and increased returns for our clients. At Broniec, we believe that technology goes beyond mere report generation; our auditors are adept at leveraging our advanced systems to pinpoint overpayment clues and further investigate your systems and documentation for additional insights. By probing deeper, we can reveal and reclaim more funds on your behalf. Furthermore, we ensure that you have access to essential supporting documentation, sources of overpayments, root causes, and the status of recovery efforts, providing a comprehensive approach to financial recovery.
Description
Shift’s Payment Integrity offers an advanced AI-driven solution tailored for health plans, aimed at enhancing the precision and minimizing expenses involved in the claims payment process. This innovative tool operates effectively during both pre-payment and post-payment phases, enabling plan administrators to identify potential issues early on while also recovering overpayments efficiently. Among its notable features are dynamic claims editing with updated rules, AI-supported reviews of medical records, detection of anomalies as well as instances of fraud, waste, and abuse, and integration of external data for a more comprehensive analysis. The system is designed to adapt to changing policies and guidelines, featuring automated policy assessments and an edit logic workbench that allows health plans to experiment with concepts prior to implementation. It also includes clear flags and alerts that inform reviewers about the reasons behind claim flagging, facilitates faster document reviews by emphasizing key sections of records, and employs data mining techniques to uncover emerging trends. Additionally, the platform boasts a cohesive case management interface that streamlines investigative workflows, further enhancing operational efficiency for health plans.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Broniec
Country
United States
Website
www.broniec.com/our-technology/
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity
