HealthRules Portal
HealthRules Portal allows payor organizations, for the first time, to truly link everyone involved in healthcare delivery. Unlike other “one-size-fits-all” offerings, HealthRules Portal provides a rich set of tools that can be used either together, or separately, to deliver a solution that will meet each payor’s specific needs.
With HealthRules Portal, you can:
- Streamline interactions with members, employers, providers, and brokers.
- Offer superior levels of partner and customer service.
- Increase agility and efficiency while reducing costs.
- Compete like never before, using a solution that was built to address the needs of the new healthcare economy.
Increase Efficiency—Enable New Levels of Customer and Partner Service
Existing healthcare portals allow members, employers, and providers to view and update a number of different types of simple information including demographics, PCPs, and, in some cases, CDHP accounts. All other types of inquiries require a call to the payor’s customer service department, during their normal business hours. Payors using HealthRules Portal are able to offer their customers and partners a set of next-generation tools that will allow them to interact with the payor at a time that is convenient for them, quickly find answers to all types of questions, and make better informed decisions.

HealthRules Portal is not intended to replace the payor’s customer service group. Instead, it provides those outside of the payor organization with a new level of flexibility, as it allows them, when appropriate, to communicate with their payor in a way, and at a time, that best meets their needs.
Leverage Existing Infrastructure—Use Only the Components You Need
Unlike other offerings, HealthRules Portal was designed to be deployed as either a complete, end-to-end solution that can be tailored to meet the needs of each individual payor, or as a set of components that can be embedded into existing portals to provide significant new levels of capability and functionality. Payors that wish to leverage their existing portal investment, or who would like to transition to a new portal platform over time, have the ability to use only the HealthRules Portal features that they need today, and then expand their use of the HealthRules Portal functionality based upon their ongoing business needs.
Gain a Competitive Edge
HealthRules Portal was designed to allow payor organizations of all types and sizes to both differentiate themselves and to truly compete in the rapidly-changing healthcare marketplace. Payors using the HealthRules platform are able to quickly and easily offer the next-generation capabilities that the market demands, while at the same time reducing costs and improving operational efficiency. Using the revolutionary new features that are part of the HealthRules Portal offering, payors are able to extend a powerful new set of advanced capabilities beyond the traditional confines of the enterprise, allowing them to provide a truly superior customer and partner experience.
Increase 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 Portal, you can quickly integrate your portals with your other enterprise business systems and all of your external business partners.
