Case Studies

Case Study: VillageCare

Case Study: Managing Payment Complexity to Improve Operational Efficiency

Case Study: Regional Non-Profit - Leveraging Source for Efficient Claims Audit & Inquiry

Case Study: Denver Health Medical Plan Customer Spotlight

Case Study: HealthRules® Promote Empowers Medica Health Plan to Streamline Processes

Large non-profit health insurance provider helps create a more efficient way to manage complex configurations and multiple instances of HealthRules Payer

Case Study: HealthRules Payer Elderplan

Case Study: Non Profit Midwestern Health Plan

Case Study: Easing Healthcare Preauthorizations - Priority Health

Case Study: AmeriHealth Administrators

Case Study: Large Southeast Payer

Case Study: Elderplan

Case Study: McLaren Health Plan

For McLaren Health Plan, outdated 30-year-old technology was resulting in a zero percent claims auto-adjudication rate, after switching to HealthRules Payer they are now exceeding 90 percent.

Case Study: Medicaid & Duals

Case Study: Large, National Health Insurer

Case Study: Medica’s Business Transformation

Case Study: NeuGen HealthCheck

Case Study: Friday Health Plans

As the next-generation core administrative system that runs Friday Health Plans’ operation, HealthRules Payer is built for growth, reliability, and customer excellence.

Case Study: Community Health Options

Case Study: Independent Health