Healthcare

Helping Improve Outcomes and Reducing Costs

InRule helps healthcare organizations around the world make better, more informed decisions that improve outcomes, grow revenues, and reduce costs and liability. InRule empowers key staff to easily and quickly write, change and test rules that is usually buried in code.  This means smarter decisions about products, care, and claims even in fast-changing environments. And because InRule manages this complex logic outside of code, it can also be shared and managed across applications and platforms, ensuring consistent decision-making throughout the enterprise.

Plans, Payers and Providers use InRule as the foundation for rules for applications including:

  • Eligibility determination and enrollment
  • Product configuration and pricing
  • Benefit verification and cost estimation
  • Prior authorization
  • Claims adjudication
  • Population management
  • Health plan underwriting
  • Automated triage recommendations
  • Embedded logic for medical devices
  • Clinical trials

Choosing InRule over coding logic has saved our customers an average of $488,059 per deployment. Click on the logos below to read case studies detailing how InRule is helping our customers improve outcomes and reduce costs.