Healthcare Improper Payment Detection Reviews & Product Details

Shift Improper Payment Detection provides an efficient, high-impact approach to identifying improper payments for health plans. By leveraging enhanced data and artificial intelligence, the solution goes beyond traditional rules-based methods to provide the insights investigators need to maximize savings and recoveries. It gives users within a health plan the ability to analyze behaviors and actions across multiple lines of business—individual providers and provider networks, third parties, plan members, and more at the pre and post-payment level. With Shift Improper Payment Detection, health plans can uncover a higher level of improper payments, increase accuracy of alerts and the efficiency of investigations.