Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
MarvelX is an agentic AI company for financial services and other highly regulated industries, with insurance as its flagship vertical. Its AI claims agents are built for autonomous claims processing: a claim comes in as a first notice of loss (FNOL), the policy is validated, the claim is adjudicated, and settlement follows, bringing handling time down from days to under an hour. Claims teams at P&C, motor, travel, health, life, and embedded insurers, as well as MGAs and TPAs, use MarvelX to confirm policy details, verify that a claim file is complete, and hand edge cases to a human reviewer. A person stays in the loop on every decision, and each outcome is documented for audit. A standalone workflow, AI document data extraction for insurance, serves teams that want structured fields out of insurance documents, traceable to a source reference, with no decisioning attached. The same architecture is being applied to other regulated work, KYC/KYB verification for notarial services among them. Integrations cover HubSpot and the Dutch registries KVK, RDW, and SchadeGarant, so MarvelX fits the systems a claims operation already runs.
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
HubSpot CRM
Pricing Details
Price on request
Pricing is scoped to claim volume and workflows deployed. Get in touch for a quote.
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
MarvelX.ai
Founded
2025
Country
Netherlands
Website
www.marvelx.ai
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration