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Description
Boost customer loyalty by refining small and medium-sized business (SMB) data to deliver customized and relevant insurance solutions that evolve with the needs of the business. Propel continuous innovation by introducing market-ready products utilizing cutting-edge technology, backed by reputable insurers, carriers, and brokers who possess specialized knowledge in all areas of insurance. SMBs benefit from individualized coverage, pre-filled forms, real-time updates, and streamlined claims management available through a user-friendly platform. The policy review process adapts dynamically in response to changes within the business, ensuring relevance and efficiency. Kayna harnesses the distinct data of each SMB to provide tailored and automated insurance protection that is appropriately sized for their needs. Furthermore, Kayna remains engaged with SMBs throughout the policy lifecycle, offering timely insurance notifications, alerts, and updates on the status of claims directly through the platform, ensuring that businesses are always informed and supported. This comprehensive approach fosters a strong relationship between SMBs and their insurance providers, enhancing overall satisfaction and loyalty.
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
No details available.
Integrations
No details available.
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
Kayna Innovation
Founded
2021
Country
Ireland
Website
kayna.io
Vendor Details
Company Name
Shift Technology
Founded
2013
Country
France
Website
www.shift-technology.com/products/payment-integrity
