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Average Ratings 0 Ratings

Total
ease
features
design
support

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

Write a Review

Description

Pace serves as an AI-driven operations platform tailored for insurance companies, enabling the development, deployment, and oversight of agents that facilitate various workflows. It encompasses functions such as submission intake, policy management, claims processing, quality assurance, first notice of loss (FNOL), certificate generation, endorsements, and data entry tasks. These agents are capable of interpreting procedures, extracting relevant information from insurance documents, and communicating via phone, email, and text, in addition to engaging with APIs, web portals, desktop applications, and legacy systems. The platform is equipped with features for workflow orchestration, human oversight for sensitive actions, and comprehensive audit trails to ensure accountability. Tempo, the agent-building tool within Pace, empowers insurance operations teams to articulate procedures in plain language while allowing for the creation and refinement of agents using sample cases as benchmarks. Aimed at carriers, brokers, managing general agents, third-party administrators, and wholesalers, Pace seeks to streamline and automate both back-office and service-related processes, enhancing overall operational efficiency. By leveraging Pace, insurance organizations can significantly reduce manual workload and improve service delivery to their clients.

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 No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Guidewire Yes 

Integrations

Guidewire No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Pace

Founded

2024

Country

United States

Website

withpace.com

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

www.shift-technology.com/products/payment-integrity

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Product Features

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