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Average Ratings 0 Ratings

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ease
features
design
support

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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.

Description

Strada is an AI-driven phone assistant specifically designed for insurance professionals. Insurance carriers, managing general agents (MGAs), and brokers leverage Strada to handle a high volume of calls—ranging from renewals and claims to quote intake, first notice of loss (FNOL), and policy management—without increasing their workforce. This innovation allows customers to enjoy round-the-clock service with no wait times, enabling your team to concentrate on closing deals and nurturing client relationships. Strada excels in the following areas: - Automatically manages renewals, FNOL, claims, and policy servicing - Offers 24/7 support with no waiting period - Instantly accommodates thousands of calls - Frees agents to prioritize sales and customer service As a comprehensive automation solution for the insurance industry, Strada effectively eliminates call delays and reduces post-call administrative tasks, leading to improved customer retention, expedited claims processing, prevention of policy lapses, and a smarter, faster service experience for clients. Additionally, by streamlining operations, Strada enhances overall team productivity and customer satisfaction.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

No images available

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

Shift Technology

Founded

2013

Country

France

Website

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

Vendor Details

Company Name

Strada

Founded

2023

Country

United States

Website

www.getstrada.com

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