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

The Sapiens Platform for Property & Casualty offers a comprehensive, cloud-based or on-premise suite of software solutions equipped with cutting-edge digital functionalities. This platform can be deployed either as an integrated system or as independent modules. Its wide-ranging offerings cater to the diverse requirements of P&C carriers, supporting various lines of business and distribution channels while providing an extensive array of digital tools. The Sapiens CoreSuite for Property & Casualty features several key components, including Sapiens PolicyPro for Property & Casualty, which oversees the entire policy administration process from the initial quote to rating and policy issuance; Sapiens BillingPro for Property & Casualty, which guarantees the accurate collection of premiums, management of claims payments, and processing of agent commissions; and Sapiens ClaimsPro for Property & Casualty, which manages claims processing and the settlement procedures. Additionally, the platform encompasses a reinsurance solution, enhancing its robustness and functionality. This comprehensive approach ensures that carriers can efficiently streamline their operations and improve overall service delivery.

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

SPLICE Dialog Suite
Sapiens Insurance Platform
Smarty

Integrations

SPLICE Dialog Suite
Sapiens Insurance Platform
Smarty

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

Sapiens International

Founded

1982

Country

Israel

Website

sapiens.com/solutions/property-and-casualty-insurance-software/

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

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

Product Features

P&C Insurance

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management

Product Features

Alternatives

Go-Insur Reviews

Go-Insur

Pancentric Digital

Alternatives

I-CAPS Reviews

I-CAPS

W.O. Comstock & Associates
AdInsure Reviews

AdInsure

Adacta
Virtual Examiner Reviews

Virtual Examiner

PCG Software
Alaffia Reviews

Alaffia

Alaffia Health
Context 4 Health Plans Suite Reviews

Context 4 Health Plans Suite

Context4 Healthcare