HealthRules Payor
HealthRules Payor is a next-generation claims and benefits administration solution that enables payor organizations to quickly offer the innovative products the market demands, while simultaneously reducing administrative costs and increasing operational efficiencies.
With HealthRules Payor, you can:
- Respond in real-time to new opportunities and market needs.
- Quickly take on any type of new business, regardless of complexity.
- Automate and streamline your existing lines of business, eliminating costly manual processing.
- Provide superior customer service by allowing your representatives to answer questions correctly the first time, every time.
- Compete like never before, using a solution that was built to address the needs of the new healthcare economy.
Grow Your Business and Improve Margins
HealthRules Payor enables organizations to confidently take on any type of new business while simultaneously automating and streamlining all of their existing lines of business. What makes HealthRules Payor different from any other solution on the market is its use of the patented HealthRules Language™, a revolutionary new approach to configuration that provides payor organizations—for the first time—to quickly and easily configure anything they can imagine.
With HealthRules Payor, your organization will gain the ability to design and implement any type of benefit plan or provider contract, regardless of complexity, in only hours or days, not the weeks or months that are normally required with other systems.
Enhance Efficiency and Transparency
With HealthRules Payor, information related to claims, members and benefits is available in one place, in an easy-to-understand format. HealthRules Payor eliminates the need for customer service representatives to research and understand the archaic configuration parameters that are often found in other systems. Instead, answers to customer questions are available instantly, in English, using the patented HealthRules Language.
With HealthRules Payor, your customer service representatives will answer all of your customer’s questions correctly the first time, every time.
Gain a Competitive Edge
HealthRules Payor was designed to help payors of all types and sizes quickly and efficiently address the ever-changing business imperatives of today’s healthcare economy. HealthRules Payor includes a complete, end-to-end, fully integrated solution for managing and processing consumer-directed health plans. Organizations using the HealthRules platform gain the ability to compete more effectively in the emerging consumer-centric healthcare marketplace, as they are now able to quickly offer the innovative products the market demands.
Increase your Business Agility with Leading Edge Technology
The HealthRules product suite utilizes industry-standard database and application server technology to provide a solution that is easy to deploy, infinitely scalable, and ready to meet the needs of any organization. Unlike other solutions, HealthRules was built, from the ground-up, using a true service-oriented architecture, enabling real-time integration with any type of system. With HealthRules Payor, you can quickly integrate your internal claims processing platform with your other enterprise business systems and external business partners.