Healthcare Payers and Plans

InRule helps healthcare payers and plans keep up with evolving business rules related to changing government regulations and competitive market forces.

Leading healthcare plans and payers have trusted InRule in the following business-critical applications:

  • Claims Adjudication (healthcare and pharmaceutical)
  • Online broker quoting tools
  • Product configuration and pricing
  • Benefit verification and cost estimation
  • Provider file processing
  • Third party Medicare/Medicaid collections
  • Eligibility determination and enrollment
  • Health plan underwriting
  • Data validation

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