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Better Care. Improved Outcomes. Reduced Costs and Risks.

From population and dynamic case management to clinical trials, claims processing, benefit verification and cost estimation, organizations across the healthcare industry and around the world trust InRule Technology® to automate their decisions, processes and machine learning predictions.

Fast, Accurate, Secure, Automated

Whether making predictions, automating processes or executing millions of decisions, it is imperative that your organization and patients can trust and leverage every outcome. The InRule® Intelligence Automation Platform alleviates concerns and positions healthcare organizations to succeed today and in the future.

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Automate Decisions and Workflows

Create and automate decisions and workflows that power your healthcare organization. Automate business decisions and processes to alleviate employee workloads and comply with evolving regulations. Bring consistency and transparency to mission-critical decisions and processes.

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Better Predictions with Machine Learning

Leverage machine learning predictions while understanding the factors and their weights for every prediction to better understand patients or pharmaceutical studies.

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Integrate with Everything

From EMRs, online quoting and claims collections portals, to common platforms such as Microsoft Dynamics and Salesforce, InRule integrates with everything, allowing customers to modernize legacy systems and gain greater value from existing investments.

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HIPAA Compliance and More

InRule values security and is committed to protecting PHI and e-PHI. In addition to complying with HIPAA, InRule service delivery is SOC 2 Type II or ISO 27001 compliant and supported via 24/7 automated monitoring, alerting and response.

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Connect Data from Anywhere

Healthcare data can live across claims clearinghouses, Medicaid/Medicare systems, patient portals and pharmaceutical testing data sets. This vast data ecosystem makes swift access to all relevant data a complex issue. Luckily InRule makes this simple by leveraging data fabric and workflow automations along with API calls.

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Empowering healthcare organizations across the patient lifecycle

Healthcare organizations around the world rely on InRule for a range of healthcare applications, including:

  • Population and Dynamic Case Management
  • Automated Triage Recommendations
  • Claims Adjudication and Processing
  • Benefit Verification and Cost Estimation
  • Clinical Trials
  • Medical Device/Instrument Alerts and Triggers

Delta Dental Modernizes Legacy Quoting Platform with Salesforce® and InRule®

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 by over 200%.

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“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.”

Tyler Leinweber, System Analyst, Delta Dental of Wisconsin

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Enrich Healthcare by Enabling Business Users

Put the full power of AI automation directly into the hands of subject matter experts and key staff, and allow them to further leverage healthcare data to automate and make better decisions. By allowing business users the ability to manage decision logic, organizations can make decisions in seconds not hours and ensures they remain compliant and competitive.

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Faster, Transparent, Trusted Predictions

Explainable machine learning allows users to fully understand every prediction that is made, and why it was made. Machine learning can identify inefficiencies in claims processing, comb through mountains of clinical data, and predict outbreaks and understanding how and why these predictions were made empowers users to make better decisions and act quickly.

InRule Machine Learning has built-in bias detection designed to ensure predictions are free from harmful bias. And AutoML capabilities allow experienced and novice users to quickly build and deploy AI-powered applications.

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Alleviate Manual Work with Automated Processes

Increase efficiency, reduce operating costs and bring consistency to processes by automating manual processes. Empower patients with self-service applications that allow them to schedule appointments, view test results and pay bills online, while keeping data secure. By standardizing these processes, healthcare organizations can remain consistent and compliant.

InRule Process Automation can also integrate with existing technology investments, such as patient portals, EMRs, CRMs and even external claims clearinghouses. Increase efficiency, reduce operating costs and bring consistency to processes by automating manual processes. Empower patients with self-service applications that allow them to schedule appointments, view test results and pay bills online, while keeping data secure. By standardizing these processes, healthcare organizations can remain consistent and compliant.