Core Administrative
Processing System
(CAPS)
You already know what your health plan needs to maintain a competitive advantage and grow:
Strategic investments in improving the member experience, strengthening care coordination, and launching new lines of business and other innovations. But increasing administrative costs, tighter margins and regulatory changes limit your ability to act.
An advanced Core Administrative Processing System (CAPS) can provide you with the efficiency, flexibility, insights and agility necessary to control costs, embrace change and move quickly to take advantage of new opportunities.
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The HealthRules® Solution Suite
HealthRules Payer
HealthRules Payer provides transformational capabilities to health plans of all types and sizes with features that align with your business processes and functional areas.
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HealthRules Connector is a robust integration layer that links HealthRules seamlessly with other systems, partner networks and exchanges so you can share critical healthcare information quickly, easily and securely.
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Our Configuration and Promotion application enables your organization to benefit from increased automation, greater accuracy, a simplified process and lower costs.
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HealthRules Payer offers built-in capabilities to support all aspects of the home and host program, reducing complexity and eliminating unnecessary duplication of provider data.
explore productTestimonials
“We wouldn’t be in business if we didn’t make a change. Not only was our legacy solution extremely clunky and hard to configure, but only a couple of people understood it, as it was not user-friendly, and it certainly wasn’t scalable.”