Healthcare Insurance Solutions for a Digital World
Healthcare insurance operations get more complex every year.
Streamline the flow of content, reduce costs, and enhance service quality:
Operational Excellence
Processes take minutes instead of days, while Rulesware automation reduces operating and production costs.
Best in Class TCO
Easily maintained solutions with minimal custom development and a proven enablement model means clients are self-sufficient after deployment.
Business Agility
Solutions can easily adapt to changing requirements and support new programs, thanks to features that dynamically add, create, and modify complex business rules.
Higher Customer Lifetime Value
Personalized, relevant communications and offers boost engagement, while faster processes – from enrollment to one and done customer service and claim processing – increase customer loyalty.
"Our milestones could not have been achieved without Rulesware’s significant contributions.”
Healthcare Solutions
Enrollment
Authorizations
Your business rules are consistently applied to every customer the proper way every time. The decisioning capabilities should reside in the rules logic, not on sticky notes or knowledge management systems that support typical authorization applications. Approve or deny authorizations in minutes, do it consistently and do it right every time, the first time.
Claims Automation
AI
Customer Service
An AI-driven engagement engine simplifies operating and regulatory requirements. By automatically selecting the best action to take, Rulesware optimizes the relevance and value of each interaction. The result: seamless customer service across all transactions and channels.
