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features
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support

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Description

ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page. It checks coverage, flags missing items and subrogation opportunities, and leaves the decision with your adjusters. Runs on Microsoft Azure.

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 No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Duck Creek Claims Yes 
Guidewire ClaimCenter Yes 
Sapiens ClaimsPro Yes 

Integrations

Duck Creek Claims No 
Guidewire ClaimCenter No 
Sapiens ClaimsPro No 

Pricing Details

Pricing is based on claim volume and scope, with terms determined for each pilot.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Decision Agency OÜ

Founded

2025

Country

Estonia

Website

claimvision.ai

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

www.shift-technology.com/products/payment-integrity

Product Features

Insurance Claims Management

CRM No 
Claims tracking No 
Customer portal No 
Document management Yes 
EDI data exchange integrations No 
Electronic claims No 
Fraud management No 
Reporting Yes 

Product Features

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