Denials

JSON twin: https://www.healthaidb.com/software/denials.json

Company Name

Sift

Product URL

https://sift.com/products/denials

Company URL

https://sift.com

Categories

• revenue Cycle
• payment Solutions
• Denials Management
• Revenue Cycle Management
• Healthcare Payments Optimization

Summary

Sift's Denials Management uses AI to prioritize claim denials, improving overturn rates and accelerating cash flow for healthcare providers.

Description

Sift's Denials Management leverages machine learning to analyze and prioritize insurance claim denials, enabling healthcare organizations to focus resources on the most promising denials, enhance denial overturn rates, and expedite cash flow. The platform also offers a Claims Edit Engine that utilizes historical payments data to recommend payer-specific claim edits, preventing future denials. Additionally, the Denials Dashboard provides a unified view of claims denials data, offering key metrics, payer scorecards, and dynamic reports for in-depth analysis.

Api Available

yes

Certifications

• ISO 27001
• SOC 2 Type II
• SOC 3
• HIPAA Compliance
• PCI DSS Compliance
• GDPR Compliance
• CCPA Compliance
• FedRAMP Moderate
• FedRAMP High
• FISMA Moderate
• FISMA High
• FISMA Low
• FISMA Low-Impact
• FISMA Moderate-Impact
• FISMA High-Impact

Company Founding

2017

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• ISO 27001
• GDPR
• CCPA
• PCI DSS
• SOC 1
• SOC 3
• NIST 800-53
• NIST 800-171
• FedRAMP
• FISMA
• FISMA Moderate
• FISMA High
• FISMA Low
• FISMA Low-Impact
• FISMA Moderate-Impact
• FISMA High-Impact

Customers

• Sift Healthcare
• Sift Digital Trust & Safety
• Sift AI-Powered Fraud Decisioning Platform
• Sift's AI-Powered Fraud Decisioning Platform
• Sift

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10
• LOINC
• CPT
• HCPCS
• NDC
• RxNorm

Deployment Model

• SaaS

Features

• Denials Prevention
• Smart Claim Edits
• Appeal Workflow Prioritization
• Data-Driven Revenue Cycle Decision-Making Tools
• Integrated Patient Financial Engagement Intelligence

Id

SW2235

Integration Partners

• Tebra
• Waystar
• athenaOne
• AdvancedMD
• RXNT
• Essentials
• Service Center by Office Ally
• SAS Fraud
• Anti-Money Laundering & Security Intelligence

Integrations

• Epic
• Cerner
• PACS
• Billing Systems
• CRM Systems
• Scheduling Systems
• Patient Portals
• EDI Systems
• HL7 Interfaces
• FHIR Interfaces
• DICOM Interfaces
• Payment Gateways
• Insurance Payers
• Patient Financial Management Tools
• Analytics Platforms
• Data Warehouses
• Business Intelligence Tools
• Reporting Tools
• Audit Logs
• Compliance Monitoring Tools

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• C-Suite Command Center
• C-Suite Intelligence Tools

Os Platforms

• Web

Pricing Details

monthly subscription; contact vendor for pricing

Pricing Model

subscription

Privacy Features

• BAA available
• Consent Management
• Anonymization
• Data Minimization
• Data Masking
• Data Tokenization
• Data Redaction
• Data Segmentation
• Data Encryption
• Data Access Controls

Product Code

SW2235

Product Name

Denials

Ratings

• 4.6/5 (G2)
• 4.8/5 (G2)

Regions Available

• United States

Related Urls

• https://elion.health/products/sift-denials

Release Year

2011

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit Logs
• 2FA
• DLP
• IDS/IPS
• Firewalls
• VPNs
• Endpoint Security

Specialties

• General Healthcare
• Hospital Management
• Health System Management

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• healthcare providers
• revenue cycle managers
• administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Sift is easy to monitor IP by knowing are they sanctioned Location or are from risky IPs. Sift is easy flag the suspicious patterns, suspicious behavior from the bad user by identifying fraudulent transaction, login activities VPN, or from unauthorized networks. Sift also reduces our manual work. Easy to apply filters. This helps us to provide the user a safe and secure platform.
• Honestly, what I love about Sift is how simple it is to get started with. Even if you're not super technical, the whole experience just makes sense—it’s really user-friendly. The setup didn’t give us headaches at all, and whenever we had questions, their support team was quick and super helpful. We use it regularly, and it’s loaded with features that actually make fraud detection smarter—not more complicated. Plus, it plays nicely with the systems we already use, so we didn’t need to change everything just to make it fit.
• I use Sift at work for various purposes, to collect and review information relevant to my field. I find it extremely user-friendly and simple to use. Implementation of Sift in day-to-day use is very important it is used frequently, and when integrated with my other tools, it's paramount for my work-related duties. I generally do not use the service for customer support-related issues or queries; however, if the need arises, I am sure that I would have a pleasant experience.
• It's so descriptive and we can check how many devices are connected, the IP Address and the emails used to create fake accounts and bypass the system. It gives a precise idea of who is trying to play with the system or product and to make the correct decision. I am on the end user side of it, and with SSO it's quick to access the app.
• I really like how Sift has improved its fraud detection with features like Identity Trust XD, which helps quickly spot real users versus fraudsters. The new AI-powered ActivityIQ makes investigating suspicious activity much faster by summarizing user behavior automatically. Also, the integration of industry benchmarks right in the platform helps teams compare their performance easily. Overall, these updates make fraud prevention smarter and more efficient without slowing things down.
• We can see a lot of different data about the user's connections and activity, which helps me make my work faster and easier. Since I use this tool daily, it has been helpful to me, considering how simple and straightforward the tool is, and also, it is amazing how we can use the data of Sift to complement the information with other platforms.
• Sift is the tool to go
• Sift is a fraud detection system it has flexible, adaptive, and automated solution that helps businesses of all sizes detect and prevent fraud, before it hits the bottom line.
• It's very user-friendly and simple to navigate.
• We consistently utilize SIFT in our daily investigations. As risk investigators, SIFT has become an essential part of our assessments. It guides us in decision-making by providing valuable insights such as login activities, locations and devices used, and other online behaviors of customers. The tool is user-friendly and seamlessly integrates with our other systems for conducting checks. Our Customer Support team also relies on this tool. The ease of implementation of SIFT helps us work more efficiently.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Denials",
  "company_name": "Sift",
  "product_url": "https://sift.com/products/denials",
  "company_url": "https://sift.com",
  "related_urls": [
    "https://elion.health/products/sift-denials"
  ],
  "product_code": "SW2235",
  "summary": "Sift's Denials Management uses AI to prioritize claim denials, improving overturn rates and accelerating cash flow for healthcare providers.",
  "description": "Sift's Denials Management leverages machine learning to analyze and prioritize insurance claim denials, enabling healthcare organizations to focus resources on the most promising denials, enhance denial overturn rates, and expedite cash flow. The platform also offers a Claims Edit Engine that utilizes historical payments data to recommend payer-specific claim edits, preventing future denials. Additionally, the Denials Dashboard provides a unified view of claims denials data, offering key metrics, payer scorecards, and dynamic reports for in-depth analysis.",
  "categories": [
    "revenue Cycle",
    "payment Solutions",
    "Denials Management",
    "Revenue Cycle Management",
    "Healthcare Payments Optimization"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "healthcare providers",
    "revenue cycle managers",
    "administrators"
  ],
  "specialties": [
    "General Healthcare",
    "Hospital Management",
    "Health System Management"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "monthly subscription; contact vendor for pricing",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2017",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Denials Prevention",
    "Smart Claim Edits",
    "Appeal Workflow Prioritization",
    "Data-Driven Revenue Cycle Decision-Making Tools",
    "Integrated Patient Financial Engagement Intelligence"
  ],
  "optional_modules": [
    "C-Suite Command Center",
    "C-Suite Intelligence Tools"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "PACS",
    "Billing Systems",
    "CRM Systems",
    "Scheduling Systems",
    "Patient Portals",
    "EDI Systems",
    "HL7 Interfaces",
    "FHIR Interfaces",
    "DICOM Interfaces",
    "Payment Gateways",
    "Insurance Payers",
    "Patient Financial Management Tools",
    "Analytics Platforms",
    "Data Warehouses",
    "Business Intelligence Tools",
    "Reporting Tools",
    "Audit Logs",
    "Compliance Monitoring Tools"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10",
    "LOINC",
    "CPT",
    "HCPCS",
    "NDC",
    "RxNorm"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "ISO 27001",
    "GDPR",
    "CCPA",
    "PCI DSS",
    "SOC 1",
    "SOC 3",
    "NIST 800-53",
    "NIST 800-171",
    "FedRAMP",
    "FISMA",
    "FISMA Moderate",
    "FISMA High",
    "FISMA Low",
    "FISMA Low-Impact",
    "FISMA Moderate-Impact",
    "FISMA High-Impact"
  ],
  "certifications": [
    "ISO 27001",
    "SOC 2 Type II",
    "SOC 3",
    "HIPAA Compliance",
    "PCI DSS Compliance",
    "GDPR Compliance",
    "CCPA Compliance",
    "FedRAMP Moderate",
    "FedRAMP High",
    "FISMA Moderate",
    "FISMA High",
    "FISMA Low",
    "FISMA Low-Impact",
    "FISMA Moderate-Impact",
    "FISMA High-Impact"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit Logs",
    "2FA",
    "DLP",
    "IDS/IPS",
    "Firewalls",
    "VPNs",
    "Endpoint Security"
  ],
  "privacy_features": [
    "BAA available",
    "Consent Management",
    "Anonymization",
    "Data Minimization",
    "Data Masking",
    "Data Tokenization",
    "Data Redaction",
    "Data Segmentation",
    "Data Encryption",
    "Data Access Controls"
  ],
  "data_residency": "US/EU regions",
  "customers": [
    "Sift Healthcare",
    "Sift Digital Trust & Safety",
    "Sift AI-Powered Fraud Decisioning Platform",
    "Sift's AI-Powered Fraud Decisioning Platform",
    "Sift"
  ],
  "user_reviews": [
    "Sift is easy to monitor IP by knowing are they sanctioned Location or are from risky IPs. Sift is easy flag the suspicious patterns, suspicious behavior from the bad user by identifying fraudulent transaction, login activities VPN, or from unauthorized networks. Sift also reduces our manual work. Easy to apply filters. This helps us to provide the user a safe and secure platform.",
    "Honestly, what I love about Sift is how simple it is to get started with. Even if you're not super technical, the whole experience just makes sense—it’s really user-friendly. The setup didn’t give us headaches at all, and whenever we had questions, their support team was quick and super helpful. We use it regularly, and it’s loaded with features that actually make fraud detection smarter—not more complicated. Plus, it plays nicely with the systems we already use, so we didn’t need to change everything just to make it fit.",
    "I use Sift at work for various purposes, to collect and review information relevant to my field. I find it extremely user-friendly and simple to use. Implementation of Sift in day-to-day use is very important it is used frequently, and when integrated with my other tools, it's paramount for my work-related duties. I generally do not use the service for customer support-related issues or queries; however, if the need arises, I am sure that I would have a pleasant experience.",
    "It's so descriptive and we can check how many devices are connected, the IP Address and the emails used to create fake accounts and bypass the system. It gives a precise idea of who is trying to play with the system or product and to make the correct decision. I am on the end user side of it, and with SSO it's quick to access the app.",
    "I really like how Sift has improved its fraud detection with features like Identity Trust XD, which helps quickly spot real users versus fraudsters. The new AI-powered ActivityIQ makes investigating suspicious activity much faster by summarizing user behavior automatically. Also, the integration of industry benchmarks right in the platform helps teams compare their performance easily. Overall, these updates make fraud prevention smarter and more efficient without slowing things down.",
    "We can see a lot of different data about the user's connections and activity, which helps me make my work faster and easier. Since I use this tool daily, it has been helpful to me, considering how simple and straightforward the tool is, and also, it is amazing how we can use the data of Sift to complement the information with other platforms.",
    "Sift is the tool to go",
    "Sift is a fraud detection system it has flexible, adaptive, and automated solution that helps businesses of all sizes detect and prevent fraud, before it hits the bottom line.",
    "It's very user-friendly and simple to navigate.",
    "We consistently utilize SIFT in our daily investigations. As risk investigators, SIFT has become an essential part of our assessments. It guides us in decision-making by providing valuable insights such as login activities, locations and devices used, and other online behaviors of customers. The tool is user-friendly and seamlessly integrates with our other systems for conducting checks. Our Customer Support team also relies on this tool. The ease of implementation of SIFT helps us work more efficiently."
  ],
  "ratings": [
    "4.6/5 (G2)",
    "4.8/5 (G2)"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2011",
  "integration_partners": [
    "Tebra",
    "Waystar",
    "athenaOne",
    "AdvancedMD",
    "RXNT",
    "Essentials",
    "Service Center by Office Ally",
    "SAS Fraud",
    "Anti-Money Laundering & Security Intelligence"
  ],
  "id": "SW2235",
  "slug": "denials",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/denials.json"
  }
}