Average Ratings 0 Ratings
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
No
API Access
Has API
No
Integrations
Denticon
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
No
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
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
No
Calibration Management
No
Data Import / Export
No
Image Analysis
No
Treatment Planning
No
Video Support
No