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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
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
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