Shift Health

Qu'est-ce que Shift Health ?

Shift Health provides AI agents for healthcare practices across patient access, revenue cycle management, and contact center workflows. Its agents handle administrative work from referral intake through payment, operating around the clock within existing electronic health record systems.

The platform lets practices set autonomy for each agent and task, with controls based on confidence and dollar thresholds. It retains context about patients, payers, and referral sources so subsequent calls, claims, and visits can build on previous interactions.

Que peut faire Shift Health ?

Referral intake and document follow-up

Screens referrals and retrieves missing notes from referring offices to help prepare patients for scheduling.

Coverage and authorization checks

Insurance Verification and Prior Auth agents handle coverage checks and authorization work before procedures.

Scheduling and patient messaging

Schedules appointments, sends text confirmations and forms, helps fill open slots, and brings overdue patients back for care.

Revenue cycle agents

Supports claim creation, charge capture, and denial management to address billing work after care is delivered.

Patient balance calls

Handles inbound patient calls about balances, extending administrative support beyond office hours.

Verified writes and action records

Checks confidence before writes and reads back changes to confirm they posted. Records actions and their rationale in an audit trail with seven-year retention.

Cas d'utilisation

“Prepare a newly referred patient”

Patient access teams can coordinate missing referral documents, coverage checks, appointment booking, and confirmation before a new patient arrives.

“Manage work around a procedure”

Practices can use agents across authorization, charge capture, claim creation, and denial handling as a procedure moves from preparation to billing.

“Support patients after office hours”

Contact center teams can use round-the-clock agents for patient balance calls when office staff are unavailable.

Questions fréquentes

Which EHR systems does Shift Health support?

The website names Athena, NextGen, and AdvancedMD, and states that agents work within existing EHR systems without replacing them.

Can a practice control how independently agents act?

Yes. Shift Health offers four autonomy tiers, from assist to fully autonomous, configurable per agent and task. Confidence and dollar thresholds gate autonomous actions.

What privacy arrangements does Shift Health describe?

Shift Health states that it provides a business associate agreement with every customer and uses HIPAA safeguards.

How can a practice evaluate Shift Health?

Practices can book a demo using their EHR and data. Shift Health also offers to review 90 days of notes to assess potential revenue opportunities.