Oracle has released Insurance Claims Adjudication for Health, a highly configurable, rules-driven claims system that helps payers reduce administrative costs and increase member and provider satisfaction. The application enables health care payers to easily configure business rules to process more complex claim scenarios automatically, increasing consistency in claims payments while reducing the number of claims processed manually.
Oracle says more accurate first-pass adjudication of claims can be achieved, reducing the number of claims requiring manual review and, thus, lowering administrative costs.
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