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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
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
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
Code Development Environment
Deploy Across Platforms
Flexible Hosting Options
Lifecycle Management
No Code Development
Simulation
Validation Tools
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration