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Description
DigitalOwl is an innovative platform that leverages artificial intelligence to analyze and review medical data, converting intricate, unstructured medical records into organized, searchable, and actionable insights for professionals in the fields of insurance, legal, and claims, which significantly minimizes the time needed for manual reviews while enhancing the precision of decisions made. This comprehensive platform harnesses cutting-edge generative AI, natural language processing, and an extensive medical knowledge base to automate critical functions, including de-duplication, data extraction, timeline generation, summarization, and integrated workflows that facilitate risk assessments, underwriting, claims examination, and legal case management, all accessible from a unified interface. Among its standout features are the View function, which provides 360° summaries of medical histories by emphasizing essential information while filtering out irrelevant details, the Chat feature that enables users to interactively explore extensive data sets through conversational AI, the Connect APIs that ensure seamless integration and normalization of medical data within existing systems, and Workflows that bring automation to decision-making processes while maintaining full transparency and traceability of evidence. By streamlining these processes, DigitalOwl not only enhances efficiency but also empowers professionals to make informed decisions with greater confidence and speed.
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
DigitalOwl
Founded
2017
Country
United States
Website
www.digitalowl.com
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity