Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Eliminate your dependence on carrier discounts by utilizing Handl Health's robust data analytics platform, Iris. This tool allows you to assess networks using contracted rates and gauge the potential disruption risks associated with transitioning your clients or prospects to different plans. Choosing the right network is merely the initial phase; it's essential to delve deeper to customize plans centered around top-performing providers and integrate these valuable insights into member tools, facilitating the easiest decision-making process when seeking care. Our solutions are meticulously crafted to empower benefits consultants in attracting and converting more leads, improving client retention, and meeting cost-saving goals. Furthermore, we advocate for health plans, including insurance carriers and self-funded employers, to openly disclose a machine-readable file containing all negotiated rates, while also providing members with online resources to explore care options and comprehend their out-of-pocket expenses, ultimately enhancing their overall experience. This approach not only promotes transparency but also fosters a more informed consumer base in the healthcare 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
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
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
No
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
Handl Health
Founded
2022
Country
United States
Website
www.handlhealth.com
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity