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Average Ratings 0 Ratings

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ease
features
design
support

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Description

Eliminate your dependence on carrier discounts by utilizing Handl Health's robust data analytics platform, Iris. This tool allows you to assess networks using contracted rates and gauge the potential disruption risks associated with transitioning your clients or prospects to different plans. Choosing the right network is merely the initial phase; it's essential to delve deeper to customize plans centered around top-performing providers and integrate these valuable insights into member tools, facilitating the easiest decision-making process when seeking care. Our solutions are meticulously crafted to empower benefits consultants in attracting and converting more leads, improving client retention, and meeting cost-saving goals. Furthermore, we advocate for health plans, including insurance carriers and self-funded employers, to openly disclose a machine-readable file containing all negotiated rates, while also providing members with online resources to explore care options and comprehend their out-of-pocket expenses, ultimately enhancing their overall experience. This approach not only promotes transparency but also fosters a more informed consumer base in the healthcare landscape.

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

Handl Health

Founded

2022

Country

United States

Website

www.handlhealth.com

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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