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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Cluda is an innovative platform that leverages artificial intelligence to facilitate the analysis, comparison, and automation of insurance policy renewals, allowing brokers and insurance professionals to optimize their back-office processes by removing manual checks, decreasing the likelihood of errors, and accelerating essential tasks. By utilizing intelligent document ingestion, Cluda seamlessly uploads and standardizes intricate policy documents in various formats, including PDF and Word, while employing advanced optical character recognition (OCR) and AI to automatically extract critical data and clauses. Moreover, the platform generates straightforward side-by-side policy comparisons that clearly delineate differences in coverage, exclusions, and terms, providing direct links to the original documents for easy verification, thereby minimizing the chances of overlooking changes and ensuring compliance. In addition, Cluda organizes the extracted and analyzed data into customized renewal reports tailored to firm-specific templates, significantly reducing the time spent on manual reporting and improving client communication. Furthermore, it features an AI-driven assistant that offers support for coverage inquiries and insightful policy information, enhancing the overall user experience and bolstering decision-making capabilities for insurance professionals.

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

Screenshots View All

Screenshots View All

Integrations

Microsoft Word

Integrations

Microsoft Word

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

Cluda

Founded

2024

Country

United States

Website

www.cluda.ai/

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

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

Product Features

Product Features

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