Global Research Firm Identifies Use of Advanced AI and Analytics and Ability to Offer Retrospective and Prospective Reviews as Key Solution Attributes
BOSTON and PARIS, October 8, 2025 – Shift Technology, the leading AI platform for insurance, today announced it has been named a “Top 10 High Potential Payment Integrity Specialist” by industry research firm Everest Group. In the report Reshaping Payment Integrity Solutions: Specialists Creating Buzz in the Market, Shift is recognized as one of 10 companies that are redefining the payment integrity landscape and that have the potential to disrupt the market with innovative and forward-looking solutions.
According to Everest Group, “the Payment Integrity (PI) market is structurally resetting. Payers are moving from retrospective audits to preventive, pre-payment validation using AI, predictive analytics, and automation to detect anomalies early, improve coding accuracy, and reduce provider abrasion. This prevention-first posture aligns with value-based care and targets lower medical loss ratios, fewer takebacks, and audit-ready defensibility while improving efficiency.” Shift Payment Integrity aligns closely to this paradigm and offers health plans a solution incorporating AI-powered edits, optimized scenarios, and accelerated workflows. This allows plans to apply AI at key points in the claims process to analyze policy and provider behavior, as well as all relevant records to prevent costly errors and identify emerging schemes. Shift empowers health plans to act quickly and precisely, boosting prepay savings and postpay recoveries.
“For far too long, the payment integrity industry has focused primarily on the basics—is the patient covered by the plan, is the treatment covered by the plan, and is the provider billing within plan guidelines,” explained, Mark Starinsky, AHFI, CFE, CHC, SA, senior product manager, Shift Technology. “At Shift, we’ve built on those core capabilities and augmented them with AI and analytics. The result is a far more comprehensive approach to payment integrity that gives health plans a near 360 degree view of what’s happening in the claims process to ensure maximum accuracy, efficiency, and fairness for the plan, its providers, and its members.”
About Shift Technology
Shift Technology is the leading AI platform for insurance. Shift combines generative, agentic, and predictive AI to transform underwriting, claims, and fraud and risk—driving operational efficiency, exceptional customer experiences, and measurable business impact. Trusted by the world’s leading insurers, Shift delivers AI when and where it matters most, at scale and with proven results. Learn more at www.shift-technology.com.
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Contact:
Rob Morton
Corporate Communications
Shift Technology
+1.617.416.9216
rob.morton@shift-technology.com
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