Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
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