Payers constantly change the rules. Sift evens the playing field. Sift equips healthcare organizations to fully leverage their payments data to work smarter, protect their margins and accelerate cash.

Actionable Denials Intelligence, delivering a longitudinal view of clinical, coding, claims and remittance data. Sift establishes a data foundation that gives providers unprecedented access to their payments data and intelligence tools to better manage their denials, identify root causes and prevent future denials. 

• Unified, normalized and organized claims and remittance data.
• Delivering an accessible and complete picture of claim behavior, payer trends and the drivers of denials.
• Curated, consultative analysis pinpointing where your team can take action to prevent denials and optimize workflows.

Denials Prioritization & Intelligent Automation to better manage touches and lower the cost of delivering each dollar of cash.

• Sift’s machine learning optimizes workflows by prioritizing your team’s denial work efforts around ROI and by delivering Smart Claim Edits that improve first-pass yield. 
• Active-Learning Claim Scrubber analyzes daily claims and remittances to curate high-impact claim edit recommendations.
• Machine learning models that score denials at an atomic claim level, using over 500 attributes to determine each denial’s likelihood to overturn.
• ROI-based denials worklists seamlessly integrate into your EMR, prioritizing high-recovery denials in staff workqueues.
• Scoring that enhances existing automation capabilities, enabling the strategic automation of low-yield accounts while avoiding over-automating recoverable accounts.

Denials Prevention. By unifying clinical, coding and payments data, Sift's ML predicts denials before claims are created and provide recommendations for upstream interventions. 

Sift’s ML models predict the likelihood of denial and provide pointers for intervention and prioritized user analysis, working to optimize payment outcomes.

• Machine learning models score encounters around their likelihood of being denied, proactively flagging encounters for intervention before claim submission.
• Denial category prediction and root causes pointers enable routing to the appropriate mid-cycle workflow for mitigation.
• Mid-Cycle Denials Intelligence that ties back-end billing, denial and overturn patterns to upstream workflow data inputs to deliver root cause analysis and prevention recommendations.

Bridge is a comprehensive and effective population health management platform that empowers the shift to value-based care. EHR and backend agnostic, Bridge aggregates data at scale and normalizes it for the user so care teams can spend more time with the patient and provide better patient care. Embracing a digital-first, data-first approach, it facilitates real-time patient information exchange. It provides on-the-go access to its application suite, offering advanced analytics, patient engagement, care management, and risk and performance management.

Bridge touches more than 15 million patients' lives, and 2022 reports reveal Bridge’s substantial contributions. The Garage’s customers have achieved remarkable results, including over $88 Million in Medicare savings. Notably, 59% of our ACO customers have achieved savings for three consecutive years, a 10% increase in per capita gross savings, an average quality score of 81%, and reductions in inpatient hospital discharges and outpatient ED visits.

DCE customers realized $27 million in total gross savings and $515 per capita gross savings. 66% of DCE customers generated savings in 2022. Beyond its financial and patient care and engagement impacts, Bridge contributes to environmental sustainability, preventing over 140,000 miles of travel through digital interactions and avoiding 40 million grams of CO2 emissions—equivalent to carbon sequestration by 47.5 acres of US forests or saving 4,519 gallons of gasoline annually.

The Garage, in Orlando, FL, specializes in population health management. Our platform, Bridge, leads in empowering the shift to value-based care, impacting 15.5M+ patient lives. Bridge ensures rapid implementation, anytime access, and best-in-class ROI.

1. ML to predict propensity-to-overturn, enabling dynamic denial prioritization -- rather than rules-based systems (i.e. EMR offerings).
2. ML to predict propensity-to-deny, enabling denial prevention before claims are created. 
3. Rev/Track Insights Reports with curated intelligence and action items.
4. Unified and accessible data foundation, including:

• Matched claims and remittance data
• Unified and normalized payments data
• Payments data matched to corresponding CDI and coding data.