OUR SOLUTIONS

Business Rules Engine

Leverage Our Advanced Rules Engine to Streamline Operations

The GuidingCare^® business rules engine is powered by FICO^® Blaze Advisor^®, the world’s leading decision rules management system. Our advanced rules engine offers a rule configuration interface that allows users to create or modify rules, managing almost all aspects of system operation. The types of rules that users can define include:

Auto-enrollment into lines of business and care programs
Operational and clinical alerts
Triggering and auto-population of letter templates based on predefined actions
Automatic approval of authorizations
Auto-assignment of workload to care staff

Integrate with Predictive Analytics

The business rules engine is integrated with the GuidingSigns Analytics module, allowing risk modeling results (risk scores, identification and stratification) to be utilized for rules building.

Configure Based on Your Needs

The rules engine is highly configurable, providing the opportunity to create or modify rules to manage most aspects of the platform and operation, including eligibility routing, alerts, queue assignments and authorization approvals.

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