Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Average Ratings 0 Ratings

Total
ease
features
design
support

No User Reviews. Be the first to provide a review:

Write a Review

Description

Practo Insura is an innovative modular platform for property and casualty insurance, designed to manage the entire policy, billing, and claims lifecycle for insurers, managing general agents, and reinsurers. By utilizing this platform, teams can expedite the launch of new insurance products, upgrade outdated processes, ensure compliance across different states, and minimize manual tasks while alleviating operational barriers. Key functionalities of Practo Insura include: • Comprehensive policy administration covering everything from issuance to renewal • Efficient billing and payment processes, including premium billing and collections • Integrated claims management that streamlines the entire process from first notice of loss to final settlement • Advanced rating engine and quote management features • User-friendly portal for insured individuals and a consumer point of sale interface • A dedicated agent portal equipped with quote-to-bind functionalities • Robust compliance and filing workflows to facilitate state expansion and governance of rates/forms • Detailed reporting and operational analytics capabilities This platform not only enhances operational efficiency but also empowers insurance professionals to focus on delivering exceptional customer service.

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

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

$50,000/year
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

Practo Insura

Founded

2023

Country

United States

Website

practoinsura.com

Vendor Details

Company Name

Shift Technology

Founded

2013

Country

France

Website

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

Product Features

P&C Insurance

Billing & Invoicing
Broker / Agent Portal
Claims Management
Commission Management
Customer Portal
Document Management
Insurance Rating
Marketing Automation
Policy Management
Quote Management
Reinsurance Administration
Underwriting Management

Product Features

Alternatives

Alternatives

Sapiens P&C Reviews

Sapiens P&C

Sapiens International
Alaffia Reviews

Alaffia

Alaffia Health
IBSuite Reviews

IBSuite

Insurance Business Applications
Venue Claims Management Reviews

Venue Claims Management

KLJ Computer Solutions
Virtual Examiner Reviews

Virtual Examiner

PCG Software