Healthcare providers face growing pressure to boost efficiency, reduce costs, maintain compliance, and deliver exceptional patient outcomes. Legacy processes and manual workflows can no longer keep up with the demands of modern healthcare. An AI decisioning platform empowers your organization to streamline operations, make data-driven decisions, and stay ahead of the curve. From meeting evolving […]
Cancer Treatment Centers of America (CTCA) is a national, comprehensive cancer care network in the United States. Founded in 1988 on a personalized, patient-centered approach to cancer care, CTCA is dedicated to tailoring cancer treatments to the needs of each patient. The Challenge CTCA is a network of five comprehensive cancer care and research centers […]
EBB Invest, a Swedish pharmaceutical company, was established in southern Sweden in 2011. Consisting of four different subsidiaries based in Sweden and Lithuania, the company employs a staff of 70. EBB provides Swedish pharmacies with quality parallel imported/distributed prescription drugs at competitive prices. It also participates in public tenders for pharmaceuticals destined for hospitals and […]
The American Society for Clinical Pathology (ASCP) is the world’s largest professional membership organization for pathologists and laboratory professionals. The organization strives to “provide excellence in education, certification and advocacy on behalf of patients, pathologists and laboratory professionals across the globe.” With more than 100,000 members, the society has shaped the application and evolution of […]
Modernizing Legacy Systems A global healthcare company providing medical insurance to more than 32 million customers in 190 countries. The organization is comprised of various market units determined by geography or product and service type. The healthcare company often packages its products and service lines with complementary offerings from other companies to better serve its […]
U.S. Based Dental Insurance Provider Saves Time, Gains Greater Transparency and Agility with InRule®
For more than 50 years, a dental insurance provider has offered benefit services, claims processing, plan administration and services to employers across the state in which it is located. The organization proudly serves more than 1.8 million subscribers and their family members. Project OverviewThe dental insurer provides their external brokers with a quoting tool that, […]
Organization Deploys InRule and Microsoft Dynamics CRM to Grow Business A healthcare company in the United States connects doctors, hospitals, and surgery centers with the manufacturers of implantable medical devices, such as orthopedic and spinal implants, and the insurance companies that provide payments for the devices. SituationWith operations in several states, the company receives referrals […]
A US-based healthcare management company provides coordination of healthcare benefit services, including insurance validation, improper payment identification, revenue recovery, claims processing, waste reduction and fraud. In addition to standard healthcare plans, the company supports processing for state and federal government agencies. THE CHALLENGE Decision makers sought to improve onboarding time of clients, accelerate improvements and […]
A U.S.-based healthcare company provides integrated pharmacy benefit management services to health plans, self-insured employers, and government agencies. The company’s services include network pharmacy claims processing, home delivery pharmacy services, drug-utilization review, formulary management, and medical and drug data analysis services. THE CHALLENGE The healthcare company relied on a homegrown application integrated with Microsoft Dynamics® […]
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