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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

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

We are enabling merchants, payment service providers, and acquirers to enhance their payment systems effectively. Switch's microservices framework facilitates independent access to our applications via various APIs in a modular way. This à la carte approach enables acquirers to integrate selected applications while leveraging their established legacy infrastructures and getting ready for future challenges. The Switch API offers uniform abstractions across all transaction types, whether they involve synchronous operations, payins, payouts, marketplaces, redirection methods, prepayments, post-payments, or one-time and recurring transactions. You can effortlessly scale your payment operations without needing further development work. By gaining access to multiple financial institutions, you achieve both redundancy and improved negotiating power. Integrating with Switch provides you with immediate access to a wide range of financial institutions without any further technological expenses. This setup empowers you to negotiate advantageous contracts with all parties involved in the payment ecosystem. Additionally, this flexibility positions you to adapt quickly to evolving market demands and enhances your competitive edge.

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

Shift Technology

Founded

2013

Country

France

Website

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

Vendor Details

Company Name

Switch

Founded

2014

Country

Portugal

Website

switchpayments.com

Product Features

Product Features

Payment Processing

ACH Check Transactions
Bitcoin Compatible
Debit Card Support
Gift Card Management
Mobile Payments
Online Payments
POS Transactions
Receipt Printing
Recurring Billing
Signature Capture

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