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Average Ratings 0 Ratings
Description
Facilitates the streamlined and precise assessment of claims while maintaining real-time payment integrity, ensuring that every claim is processed correctly and promptly for the appropriate amount. Assists healthcare providers in the provision of superior care, automates various administrative functions, and pinpoints essential opportunities for growth within their practices. We are excited to announce numerous positions available for dentists, computer vision experts, and software engineers. Join us in making a significant difference in the lives of millions. Transition from labor-intensive and erratic claim reviews to a fully automated and effective system for evaluating each claim. Shift from a post-payment recovery approach to a proactive model focused on prevention, ensuring accurate and timely payments. Enhance the productivity of dentists through automated charting, identifying errors in coding and billing, and implementing comprehensive diagnostic and treatment protocols for every patient visit, while also fostering innovation in the healthcare sector.
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
Integrations
Denticon
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
Overjet
Founded
2018
Country
United States
Website
www.overjet.ai/
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity
Product Features
Dental Imaging
2D Imaging
Calibration Management
Data Import / Export
Image Analysis
Treatment Planning
Video Support