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features
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support

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Description

CNSI’s Business Rules Management System (BRMS) empowers users to swiftly and effortlessly establish Business Rules without needing any programming expertise. With RuleIT, organizations can effectively execute business decisions by overseeing and adjusting the rules that influence their operational workflows. CNSI offers a wide array of health information technology solutions and customizable products tailored for various state and federal agencies. Our focus is on aligning, creating, and managing innovative, high-quality, and cost-efficient solutions that assist clients in fulfilling their goals, enhancing their business effectiveness, minimizing expenses, and improving health outcomes for over 50 million Americans. By leveraging modular cloud-based enterprise systems, mobile apps, predictive analytics, situational awareness, and centralized real-time processing, we are dedicated to transforming and modernizing the managed healthcare delivery system. This commitment ensures that our clients are equipped with the tools necessary to navigate the ever-evolving landscape of healthcare efficiently.

Description

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

CNSI

Founded

1994

Country

United States

Website

www.cns-inc.com

Vendor Details

Company Name

HealthEdge Software

Website

www.healthedge.com

Product Features

Business Rules Management Systems (BRMS)

Access Control / Permissions Yes 
Code Development Environment Yes 
Deploy Across Platforms Yes 
Flexible Hosting Options Yes 
Lifecycle Management Yes 
No Code Development Yes 
Simulation Yes 
Validation Tools Yes 

Product Features

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking No 
Co-Pay & Deductible Tracking No 
Compliance Management No 
Customer Management No 
Electronic Claims No 
Forms Management No 
Paper-Based Claims No 
Payor Management Yes 
Policy Administration No 

Alternatives

Alternatives

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