HealthRules Overview

The only thing certain in today's healthcare world is change. New types of products, new government programs, heightened consumer expectations and threats from new-breed competitors are driving payors to move more quickly and in more new directions than ever before. Agility is the key to survival.

HealthRules, a benefits and claims administration, business intelligence, and portal application for healthcare payors, is the most innovative product suite on the market today. It helps organizations respond quickly, flexibly and cost-effectively to changing market demands.

Unlike any other enterprise–class application used by payor organizations today, HealthRules builds strategic leverage in every phase of your business cycle from analysis to planning to implementation.

Built on a unique, patented next-generation technology platform, HealthRules includes three integrated applications. Used together or stand–alone, these applications effectively position your organization for long term business success.

HealthRules Payor – Administer health benefits and claims with speed, clarity, accuracy, and a level of flexibility unparalleled in the industry.

HealthRules Answers – Interactively and dynamically perform data analysis and reporting. Any business manager can query HealthRules data to discover correlations and take immediate action.

HealthRules Portal provides healthcare organizations with Enterprise Relationship Management and Communication solutions to fully empower and nurture relationships with key stakeholders: physicians, dentists, hospitals, patients, employees, and brokers.