Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

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

Screenshots View All

Screenshots View All

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

Product Features

Alternatives

Alternatives

Alaffia Reviews

Alaffia

Alaffia Health
Venue Claims Management Reviews

Venue Claims Management

KLJ Computer Solutions
Virtual Examiner Reviews

Virtual Examiner

PCG Software