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Description
Exceeds AI is a sophisticated performance-intelligence platform designed specifically for engineering teams, which captures and interprets genuine coding activities, collaboration efforts, and AI-driven programming tasks to provide valuable insights. It monitors metrics at both the individual and team levels, encompassing code contributions, updates on issues or tickets, meeting records, review processes, and the usage of AI tools, while generating a dynamic profile for each engineer that highlights their strengths, areas for development, and ongoing performance trends. Rather than depending solely on metadata, it delves into actual code and workflow modifications to pinpoint where AI enhances efficiency, where it creates obstacles, and under what circumstances quality or speed may decline. When it detects anomalies or concerning trends, such as ineffective AI-assisted modifications or workflow delays, Exceeds flags these issues, prioritizing them based on significance, providing root-cause analysis, and offering customized suggestions for improvement. This proactive approach not only helps in resolving current problems but also aids teams in fostering a culture of continuous enhancement in their coding practices.
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
Exceeds
Founded
2024
Country
United States
Website
www.exceeds.ai/
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity