Prevent Fraud Waste and Abuse in Healthcare | Shift

Medicare, Medicaid, and healthcare fraud, waste, and abuse cases continue to grow in complexity and magnitude. With Shift’s AI-Powered detection platform, health plans can stay ahead of these evolving schemes to maximize savings and recoveries.

Access internal and external data sources, provider snapshots, and utilization details in one place
Get prioritized, actionable alerts for high-value prepayment and post-payment detection
Increase SIU Efficiency by 200% with integrated case management capabilities
Easily integrate with your existing claims platforms, accelerating time to value

To stay ahead of emerging fraud, waste and abuse, bolster your healthcare fraud detection, and uncover complex schemes, Contact Shift today.

Learn more about Shift Technology

1200px-AXA_Logo.svg.png

1280px-Covéa_logo.svg.png

1200px-Ethias_logo.svg.png

First.Central.png

generali_switzerland

1200px-Grange_Insurance_logo.svg.png

Logo_La_Banque_postale_2022.svg.png

MS_AD_Insurance_Group_logo.svg (1).png

aegon_santander_logo

sompo_singapore_logo

tokio_marine_prop_logo

Why trust Shift to transform insurance decision making?

Extreme
accuracy

Extreme accuracy

Shift’s AI-driven insurance decision solutions deliver greater-than-human accuracy.

Extreme
accuracy

Shift’s AI-driven insurance decision solutions deliver greater-than-human accuracy.

100%
explainability

100% explainability

Our solutions don’t simply deliver an answer. They explain the why behind every decision.

100%
explainability

Our solutions don’t simply deliver an answer. They explain the why behind every decision.

Easy integration
& adoption

Easy integration & adoption

Rapid deployment uses historical data in any format.

Easy integration
& adoption

Rapid deployment uses historical data in any format.

Deep AI
expertise

Deep AI expertise

Shift maintains the largest data science team in the world focused solely on AI-driven insurance decisions.

Deep AI
expertise

Shift maintains the largest data science team in the world focused solely on AI-driven insurance decisions.

Reliability
& security

Reliability & security

We meet or exceed the security and data privacy standards of the world’s leading insurers.

Reliability
& security

We meet or exceed the security and data privacy standards of the world’s leading insurers.