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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

General Magic is a specialized AI messaging solution tailored for the insurance sector, allowing firms to streamline customer workflows via SMS and other messaging platforms. By utilizing AI agents that can manage tasks such as quoting, renewals, policy adjustments, and claims updates in real-time, it enables insurers to execute essential operations through straightforward text conversations rather than relying on phone calls or web portals. The platform seamlessly connects with various systems, including policy, quote, claims, and CRM, through APIs, ensuring that dialogues are supported by up-to-date insurance data while automatically refreshing records as processes advance. Furthermore, it tracks every interaction with customers and assesses users based on intent, frustration levels, and the potential for churn, providing insights that help teams identify when intervention might be necessary. The central feature of the platform, known as Cell, effectively converts customer inquiries into actionable steps across fundamental insurance systems, proactively requesting any missing details and automating follow-up communications to enhance customer engagement. This innovative approach not only improves efficiency but also elevates the overall customer experience within the insurance landscape.

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 Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Guidewire Yes 
HubSpot CRM Yes 
Salesforce Yes 
Zoho CRM Yes 

Integrations

Guidewire No 
HubSpot CRM No 
Salesforce No 
Zoho CRM No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

General Magic

Country

United States

Website

generalmagic.inc/

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

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

Product Features

Product Features

Alternatives

Alternatives

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Shift Claims

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