Shift Technology, a leading AI platform for insurance, has been recognized by Everest Group as one of the “Top 10 High Potential Payment Integrity Specialists.” The accolade, highlighted in the report Reshaping Payment Integrity Solutions: Specialists Creating Buzz in the Market, spotlights companies poised to disrupt traditional claims auditing with innovative, AI-driven solutions.
The payment integrity (PI) market is undergoing a structural shift. Everest Group notes that payers are moving away from retrospective audits and toward preventive, pre-payment validation. By leveraging AI, predictive analytics, and automation, insurers can detect anomalies early, improve coding accuracy, reduce provider friction, and align with value-based care models. Shift’s platform exemplifies this trend, integrating AI-powered edits, optimized scenarios, and accelerated workflows to prevent costly errors and identify emerging fraudulent schemes.
“Historically, the payment integrity industry has focused on the basics—coverage verification, treatment validation, and billing compliance,” said Mark Starinsky, senior product manager at Shift Technology. “At Shift, we’ve built on those core capabilities and augmented them with AI and analytics. The result is a comprehensive approach that gives health plans a near 360-degree view of claims, ensuring maximum accuracy, efficiency, and fairness for plans, providers, and members.”
Shift Technology’s solution empowers health plans to act quickly and precisely, boosting prepay savings and postpay recoveries. By embedding AI at critical points in the claims process, the platform analyzes policy and provider behavior alongside all relevant records, delivering actionable insights in real time.
With recognition from Everest Group, Shift reinforces its position as a forward-looking innovator in the payment integrity space, joining a select group of companies redefining how health plans approach claims accuracy, efficiency, and fraud prevention.
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