To comply with the modularity standards put forth by the U.S. Department of Health and Human Services Centers for Medicare and Med- icaid Services,...

According to the Center for Disease Control and Prevention, chronic diseases —such as heart disease, stroke, cancer, diabetes, and arthritis—are...

Roughly 9.8 billion medical claim transactions took place in the US in 2015. This number represents only the commercial side; government-related...

The shift to population health management in the healthcare industry today dramatically escalates the requirements for situational awareness and...

Healthcare is driven by rules and regulations. Non-compliance with government coverage determinations and private payer reimbursement rules...

For developers and architects working for insurance organizations, business analysts’ requests for “quick” or “simple” changes to claims...

InRule® is the premier .NET Business Rules Management System (BRMS) for authoring, managing and executing business rules across an organization....

Business rules for rating and underwriting pose a consistent challenge to commercial insurance organizations. As underwriters, actuaries, and other...

Artificial intelligence, and more specifically machine learning, is everywhere these days. We hear about applications for facial recognition,...

The purpose of this paper is to provide a framework to quantify the value of the InRule® Decision Platform. While every project is different, and...

Enterprise architects and IT teams continue to be faced with delivering technologies and applications that...

Risk is a reality for every project. Surfacing risks in a decision management lifecycle is critical to a successful go-live. InRule’s expertise...

Despite growing competition, the lending industry remains largely reliant on legacy systems that use hard-coded business rules and manual processes...

InRule® for Salesforce® is the leading enterprise-grade business rules management system (BRMS) for Salesforce. For organizations using Salesforce...