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Sift Healthcare Denials Management

AI-Powered Healthcare Payments.

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Overview

Sift Healthcare provides a data science platform that applies predictive analytics and machine learning to healthcare payments data. Their Denials Management solution scores and prioritizes denials based on the likelihood of being overturned and paid, allowing RCM teams to focus their efforts on the most valuable claims. The platform also provides payer-specific claim edit recommendations to prevent future denials and unifies clinical and payment data to provide a holistic view of the revenue cycle.

✨ Key Features

  • AI-powered denial prioritization (ROI scoring)
  • Predictive analytics for overturn likelihood
  • Automated, payer-specific claim edit recommendations
  • Root cause analysis dashboards
  • Unified clinical and financial data platform
  • Patient propensity-to-pay modeling

🎯 Use Cases (3)

Health systems looking to optimize their denial workflow. RCM leaders wanting to apply data science to their revenue cycle. Providers needing to prioritize follow-up on a high volume of denials.

✅ Best For

  • Prioritizing denial worklists to accelerate cash flow.
  • Identifying and implementing custom claim edits to prevent recurring denials.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations looking for a simple, non-AI based workflow tool.

💻 Platforms

Web API

🔌 Integrations

Accepts standard 837 and 835 claim files Integrates with EHR and clearinghouse data

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Standard tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ SOC 2 Type 2

💰 Pricing

Contact for pricing
Visit Sift Healthcare Denials Management Website →