Security & Compliance

Go ahead. Try to make it cross the line.

Every Shift Agent is built around the specific way it could go wrong: coding above the chart, cancelling care over a coverage check, contacting a patient without consent. Ask it to do the wrong thing. It stops, says why, and hands the decision to a person.

  • BAA with every customer
  • HIPAA-aligned controls
  • PHI never trains a model

Pick a request · Shift Agents

0 of 7 tried · 0 lines crossed

Staff · Teams

Bump this visit to a 99215

Reads the provider’s note

Medical decision-making supports a 99213: two stable chronic problems, low-risk management

Line

Never codes above what the documentation supports.

Charge Capture Agent · what it did instead

  • Kept the provider’s 99213
  • Sent the request to Dr. Patel for review, with the note sections that set the level

audit · hold · charge_capture · E/M above documentation · routed: physician · rationale saved

Every hold lands in the audit trail with its reason.1 / 7

Two kinds of line

One line never moves. The rest are yours to set.

Fixed, for every agent

No agent gives medical advice. A clinical question goes to your care team, whatever the configuration.

Set by you

Conservative-coding preferences, escalation rules, what an agent may say to a patient, and which steps need a person’s sign-off before anything is written back.

How much it does on its own →

Every agent’s line

Nine agents. Nine failure modes, designed out.

Charge Capture
Never auto-applies a higher E/M level or a changed primary diagnosis over the provider’s own. Disagreements go to the physician.
Denial Management
Routes resubmissions to a coder or clinician for payers whose contracts require sign-off, rather than assuming its own authority.
Prior Auth
Never fabricates a clinical justification. If the chart doesn’t support medical necessity, it says so.
Referral
Never routes a referral to scheduling while a required PCP referral or prior auth is missing.
Insurance Verification
Never cancels, reschedules or denies care over a coverage finding. Coverage informs care; it doesn’t gate it.
Scheduling
Checks before a provider or visit-type change, so a reschedule never silently voids an auth or referral.
Registration
Reads back every write to the PM system and verifies it before treating it as saved.
Patient Balances
Consent and TCPA rules gate every outbound contact; PCI rules govern how payment is collected.
Document Intake
Matches the patient before filing, and escalates a critical result immediately instead of queueing it.

Your data

Your data does your work, and nothing else.

Models run in a private, isolated environment on AWS’s HIPAA-eligible cloud. What your practice teaches its agents, from payer quirks to your own SOPs, stays yours.

Private, isolated models
Hosted in an isolated environment on AWS’s HIPAA-eligible cloud. PHI never trains or fine-tunes a model.
Yours alone
Never shared with, or used to train, another customer’s agents.
Minimum necessary
Each agent sees only what its task needs, not the full record.
Encrypted
At rest (AES-256, AWS KMS) and in transit (TLS 1.2+).
Access
Role-based access and mandatory MFA.
Audit trail
Every action logged with its rationale. 7-year retention.
Monitoring
24/7, with AWS GuardDuty, CloudWatch and Inspector.
People
Annual HIPAA training and background checks for staff and subcontractors.
If something happens
A documented incident-response plan, with prompt breach notification under HITECH.
Contract
A BAA with every customer.

Who owns what

Clear lines here too.

Shift

  • Infrastructure security and platform controls
  • Encryption and monitoring
  • Agent guardrails and the audit trail

Your organization

  • User access and authentication practices
  • Data classification and endpoint security
  • Staff training
  • Legal responsibility for, and ownership of, all PHI

Shift runs on AWS’s HIPAA-eligible infrastructure. AWS holds its own SOC 1, 2 and 3 attestations for that infrastructure; they are AWS’s, not Shift’s.

Bring us your hardest request.

We’ll run it against an agent, live, in the demo.