InRule helps healthcare organizations make more informed decisions and automate processes. From claims processing and benefit verification to clinical trials and care management, InRule’s business rule engine (BRE), process automation, and machine learning tools help enhance outcomes, reduce costs, and ensure regulatory compliance. Whether for payors, providers, biotech, or pharma, InRule helps healthcare organizations improve outcomes and drive operational efficiency. It enables healthcare providers, payors, and life sciences organizations deliver better patient care, reduce costs, and adapt quickly to changing regulations. InRule automates claims processing, eligibility checks, and pricing models, reducing manual effort and improving accuracy. The InRule AI Decisioning Platform enhances fraud detection and streamlines compliance, helping payors minimize losses and ensure efficient operations. By personalizing member engagement, InRule helps boost satisfaction and retention. InRule streamlines clinical decision-making, integrates with EMRs, and reduces errors in documentation. The platform makes it easy to automate administrative tasks, freeing providers to focus on patient care. Providers benefit from faster decisions and improved patient outcomes, all while reducing operational costs. InRule accelerates clinical trials, regulatory compliance, and drug development. The platform automates data management and reporting, improving decision-making and speeding up time-to-market for new treatments. With InRule, pharmaceutical and biotech companies ensure transparency and operational efficiency. InRule empowers healthcare organizations to deliver better care, optimize operations, and drive innovation. Automate decision-making processes to reduce delays and improve accuracy. Ensure transparency and auditability in processes to improve regulatory adherence. Streamline workflows and reduce manual tasks to lower operational co Deliver personalized, proactive communication for better satisfaction and retention. The InRule Platform consists of a business rules engine, machine learning, and process automation for greater productivity, increased revenue, and exceptional business outcomes. InRule Decisioning enables healthcare organizations to leverage the industry’s most powerful business rules engine (BRE) to make faster, more informed decisions by empowering business users to create and manage decision logic without relying on IT. Whether automating claims adjudication, clinical workflows, or regulatory compliance, InRule helps organizations reduce manual effort, accelerate processes, and improve decision accuracy—all while staying compliant with evolving regulations. InRule Machine Learning enables healthcare organizations to leverage data for predictive decision-making. From detecting fraud for payors to optimizing patient outcomes for providers and accelerating drug development for life sciences, InRule’s machine learning models help organizations anticipate needs and drive better results. Business users can quickly implement and refine models to improve efficiency and outcomes across healthcare sectors. InRule Process Automation allows healthcare organizations to automate manual tasks, streamline workflows, and reduce operating costs. Whether managing claims for payors, optimizing patient intake for providers, or automating data management in drug trials for life sciences, InRule ensures consistent, efficient operations. By easily integrating with existing software, InRule enables organizations to improve efficiency, expediate workflows, and focus on delivering better outcomes. For more than 50 years, Delta Dental of Wisconsin has offered benefit services, claims processing, plan administration and services to employers within the state. The organization proudly serves more than 1.8 million subscribers and their family members. By leveraging Salesforce and InRule, Delta Dental was able to create an online quoting portal that reduced the time it takes to make changes to new rating plans from approximately 40 hours down to three. –Tyler Leinweber, System Analyst, Delta Dental of WisconsinOptimize the Business of Healthcare with a Business Rule Engine to Elevate Care and Reduce Costs
Empowering Every Corner of Healthcare
Payors and Plans
Providers
Pharma and Biotech
Transforming Healthcare, One Decision at a Time
Make Faster, Smarter Decisions
Enhance Regulatory Compliance
Reduce Cost and Improve Efficiency
Improve Patient and Member Engagement
How InRule Helps
Rules Engine
Empower Smarter Decisions with Rules Engine Technology
Machine Learning
Unlock Predictive Insights with Explainable Machine Learning
Digital Process Automation
Streamline Workflows with Digital Process Automation
Delta Dental Modernizes Legacy Quoting Platform with Salesforce® and InRule®
“We have set up some pretty complex calculations in InRule, and being able to show the actuarial team what the math really looks like in a simple, straightforward language gives them confidence that the logic we have implemented is correct and aligns with their expectations.”
Healthcare Resources
Optimizing Healthcare Delivery with AI Decisioning
Cancer Treatment Centers of America Optimizes Patient Care With InRule
EBB Invest Realizes its Vision Using InRule Process Automation
Affinity Systems Leverages InRule® for Cancer Care Ontario
American Society for Clinical Pathology (ASCP) Modernizes Member Portal
A Hong Kong-Based Healthcare Company Combines Three Proven Technologies to Deliver Flexibility and Power
U.S. Based Dental Insurance Provider Saves Time, Gains Greater Transparency and Agility with InRule®
Surgical Implant Provider Cuts Costs, Increases Business Volume with InRule®
U.S. Based Healthcare Management Company Scales and Modernizes Legacy Solution with InRule and Hadoop
U.S. Based Healthcare Company Builds Claims Management Solution with InRule and Microsoft Dynamics CRM
Allscripts Powers Proprietary “Hub” Platform with InRule
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